JACK MICHAEL GIBSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013227

License Status

EXPIRED

Business

First Name

JACK MICHAEL

Last Name

GIBSON

Suffix

Business Name

JACK MICHAEL GIBSON MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

07/01/1983

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006