KENNETH L GERDES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

KENNETH L

Last Name

GERDES

Suffix

Business Name

KENNETH L GERDES MD

Original Issue Date

06/10/1991

Effective Date

06/10/1991

Expiration Date

07/31/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020