DONNA FENTON GIBSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

CANCELLED

Business

First Name

DONNA

Middle

FENTON

Last Name

GIBSON

Suffix

Business Name

DONNA FENTON GIBSON MD

Original Issue Date

07/14/1999

Effective Date

07/14/1999

Expiration Date

07/31/2002

City

CHRISMAN

State

Zip

61924

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006