GAYLORD W BENNETT MD - Medical Doctor License in Oregon | # 036046546

GAYLORD W BENNETT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046546

License Status

INACTIVE

Business

N

First Name

GAYLORD W

Last Name

BENNETT

Suffix

MD

Business Name

GAYLORD W BENNETT MD

Original Issue Date

10/19/1972

Effective Date

10/19/1972

Expiration Date

07/31/1993

State

OR

Ever Disciplined

N

LastModifiedDate

09/20/2006