MARK MATTHEW GARBEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

NOT RENEWED

Business

First Name

MARK

Middle

MATTHEW

Last Name

GARBEK

Business Name

MARK MATTHEW GARBEK

Original Issue Date

02/11/2020

Effective Date

01/08/2022

Expiration Date

03/01/2024

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025