GARY H LEA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065405

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

LEA

Suffix

Business Name

GARY H LEA MD

Original Issue Date

10/06/1982

Effective Date

10/06/1982

Expiration Date

07/31/2005

City

FAIRFIELD BAY

State

Zip

72088

Ever Disciplined

LastModifiedDate

12/02/2009

Case Number

2009003643

Action

Refuse To Renew

Discipline Start Date

08/06/2009