DANIEL W GIBSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061941

License Status

CANCELLED

Business

First Name

DANIEL

Middle

Last Name

GIBSON

Suffix

Business Name

DANIEL W GIBSON DO

Original Issue Date

07/16/2015

Effective Date

07/16/2015

Expiration Date

01/31/2016

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/16/2015