ALVIN JOSEPH GONZALES DANDAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

ALVIN JOSEPH

Middle

GONZALES

Last Name

DANDAN

Business Name

ALVIN JOSEPH GONZALES DANDAN MD

Original Issue Date

06/03/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023