MIGUEL GAMBETTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045212

License Status

NOT RENEWED

Business

First Name

MIGUEL

Last Name

GAMBETTA

Suffix

Business Name

MIGUEL GAMBETTA MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/2005

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006