LAWRENCE MCLEAN GIBBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

LAWRENCE

Middle

MCLEAN

Last Name

GIBBS

Business Name

LAWRENCE MCLEAN GIBBS MD

Original Issue Date

08/17/2012

Effective Date

04/11/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017