KENNETH L GERDES 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

First Name

KENNETH L

Last Name

GERDES

Suffix

Business Name

KENNETH L GERDES MD

Original Issue Date

07/26/1991

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63136

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023