LOUISE GOMBAKO WITHERSPOON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

LOUISE

Middle

GOMBAKO

Last Name

WITHERSPOON

Business Name

LOUISE GOMBAKO WITHERSPOON MD

Original Issue Date

07/13/2023

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023