JAMES MATTHEW GEPHART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123276

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

MATTHEW

Last Name

GEPHART

Business Name

JAMES MATTHEW GEPHART MD

Original Issue Date

04/27/2009

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017