GANNON T DUDLAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105322

License Status

ACTIVE

Business

First Name

GANNON

Middle

Last Name

DUDLAR

Suffix

Business Name

GANNON T DUDLAR MD

Original Issue Date

07/30/2001

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

KEY WEST

State

Zip

33040

Ever Disciplined

LastModifiedDate

07/21/2023