MARC W GERDISCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

MARC W

Last Name

GERDISCH

Suffix

Business Name

MARC W GERDISCH MD

Original Issue Date

07/12/1989

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46202

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023