ALLEN R GARDNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061957

License Status

NOT RENEWED

Business

First Name

ALLEN R

Last Name

GARDNER

Suffix

Business Name

ALLEN R GARDNER MD

Original Issue Date

04/14/1981

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

PRESCOTT

State

Zip

86303

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017