MICHAEL E GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

GIBSON

Business Name

MICHAEL E GIBSON MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

09/30/2020

City

FULTONDALE

State

Zip

35068

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021