WAYNE ST MICHAEL GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116401

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

ST MICHAEL

Last Name

GIBSON

Suffix

Business Name

WAYNE ST MICHAEL GIBSON MD

Original Issue Date

07/06/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NEW ALBANY

State

Zip

47150

Ever Disciplined

LastModifiedDate

11/06/2008