GINA M MIDMORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131270

License Status

NOT RENEWED

Business

Title

First Name

GINA

Middle

Last Name

MIDMORE

Business Name

GINA M MIDMORE MD

Original Issue Date

08/30/2012

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

SANTA ROSA

State

Zip

95404

Ever Disciplined

LastModifiedDate

11/01/2017