GREGORY C GIFFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072934

License Status

NOT RENEWED

Business

First Name

GREGORY C

Last Name

GIFFORD

Suffix

Business Name

GREGORY C GIFFORD MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/31/2005

City

COLUMBUS

State

Zip

47201

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006