GORDON R MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044422

License Status

NOT RENEWED

Business

First Name

GORDON R

Last Name

MONTGOMERY

Suffix

Business Name

GORDON R MONTGOMERY MD

Original Issue Date

07/09/1971

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

POOLER

State

Zip

31322

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/01/2017