JACK L GIBBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032923

License Status

NOT RENEWED

Business

First Name

JACK L

Last Name

GIBBS

Suffix

Business Name

JACK L GIBBS MD

Original Issue Date

09/21/1954

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

01/14/2021