BRANDON R GUMBINER DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

BRANDON

Middle

Last Name

GUMBINER

Suffix

DPM

Business Name

BRANDON R GUMBINER DPM

Original Issue Date

06/25/2008

Effective Date

01/16/2025

Expiration Date

01/31/2027

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025