AISHA GARGOM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124871

License Status

NOT RENEWED

Business

First Name

AISHA

Last Name

GARGOM

Business Name

AISHA GARGOM

Original Issue Date

01/21/2010

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/01/2017