GARY B CARPENTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095444

License Status

NOT RENEWED

Business

First Name

GARY B

Last Name

CARPENTER

Suffix

Business Name

GARY B CARPENTER MD

Original Issue Date

05/12/1997

Effective Date

05/28/2020

Expiration Date

07/31/2023

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/30/2023