TERRY G GARDNER DO - Medical Doctor License in Missouri | # 036076427

TERRY G GARDNER DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076427

License Status

NOT RENEWED

Business

N

Title

DO

First Name

TERRY

Middle

G

Last Name

GARDNER

Business Name

TERRY G GARDNER DO

Original Issue Date

12/07/1987

Effective Date

12/07/1987

Expiration Date

07/31/2005

State

MO

Ever Disciplined

Y

LastModifiedDate

09/04/2013

Case Number

2004009043

Action

Suspension

Discipline Start Date

08/09/2006

Discipline Reason

Disciplined in the state of Missouri.