GEORGE C GUSTAFSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062275

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

Last Name

GUSTAFSON

Suffix

Business Name

GEORGE C GUSTAFSON MD

Original Issue Date

06/16/1981

Effective Date

08/08/2011

Expiration Date

07/31/2014

City

COLORADO SPRINGS

State

Zip

80909

County

COLORADO

Ever Disciplined

LastModifiedDate

11/17/2014