PAUL HARRY GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

HARRY

Last Name

GIBSON

Business Name

PAUL HARRY GIBSON MD

Original Issue Date

09/13/2012

Effective Date

09/29/2015

Expiration Date

07/31/2017

City

WATERLOO

State

Zip

62298

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020