MICHAEL GOWEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

GOWEN

Business Name

MICHAEL GOWEN MD

Original Issue Date

07/15/2022

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023