MARK A GEBBIE DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****37

License Status

CANCELLED

Business

First Name

MARK

Middle

Last Name

GEBBIE

Suffix

DPM

Business Name

MARK A GEBBIE DPM

Original Issue Date

01/30/2007

Effective Date

01/30/2007

Expiration Date

01/31/2009

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2010