MICHAEL E GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149887

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

GIBSON

Business Name

MICHAEL E GIBSON MD

Original Issue Date

06/21/2019

Effective Date

06/21/2019

Expiration Date

09/30/2020

City

FULTONDALE

State

Zip

35068

Ever Disciplined

LastModifiedDate

01/14/2021