CAROL MARGARET GAINES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

MARGARET

Last Name

GAINES

Suffix

Business Name

CAROL MARGARET GAINES MD

Original Issue Date

09/20/2007

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

MOUNT PLEASANT

State

Zip

53406

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017