GARY L WARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029474

License Status

EXPIRED

Business

First Name

GARY

Middle

Last Name

WARD

Business Name

GARY L WARD

Original Issue Date

05/06/1993

Effective Date

05/06/1993

Expiration Date

06/30/1996

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006