THEODORE HAROLD GIFFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050719

License Status

NOT RENEWED

Business

First Name

THEODORE HAROLD

Last Name

GIFFORD

Suffix

Business Name

THEODORE HAROLD GIFFORD MD

Original Issue Date

02/25/1975

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

11/06/2008