ROBERT JOSEPH GORMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

JOSEPH

Last Name

GORMAN

Business Name

ROBERT JOSEPH GORMAN MD

Original Issue Date

04/17/2019

Effective Date

04/17/2019

Expiration Date

09/30/2020

City

COLUMBIA

State

Zip

65203

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021