JOHN R GARDNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109793

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

GARDNER

Business Name

JOHN R GARDNER

Original Issue Date

07/29/2003

Effective Date

07/29/2003

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006