BRUCE JAY GARDNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133150

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

JAY

Last Name

GARDNER

Business Name

BRUCE JAY GARDNER MD

Original Issue Date

06/03/2013

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

JOINT BASE ELMENDORF RICHARDSON

State

Zip

99506

County

ALASKA

Ever Disciplined

LastModifiedDate

11/01/2017