LAURA JANE GARDNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025363

License Status

EXPIRED

Business

First Name

LAURA

Middle

JANE

Last Name

GARDNER

Suffix

Business Name

LAURA JANE GARDNER MD

Original Issue Date

06/07/1990

Effective Date

06/07/1990

Expiration Date

06/30/1992

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006