GLEB GREGORY GENDEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149056

License Status

ACTIVE

Business

Title

First Name

GLEB

Middle

GREGORY

Last Name

GENDEL

Business Name

GLEB GREGORY GENDEL DO

Original Issue Date

04/15/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

49341

Ever Disciplined

LastModifiedDate

04/02/2024