TRENT L VANDE GARDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102393

License Status

NOT RENEWED

Business

First Name

TRENT

Middle

Last Name

VANDE GARDE

Suffix

Business Name

TRENT L VANDE GARDE MD

Original Issue Date

05/01/2000

Effective Date

05/01/2000

Expiration Date

07/31/2002

City

SHAWNEE

State

Zip

66203

County

KANSAS

Ever Disciplined

LastModifiedDate

10/09/2006