AUSTIN DALE GULLETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041914

License Status

NOT RENEWED

Business

First Name

AUSTIN DALE

Last Name

GULLETT

Suffix

Business Name

AUSTIN DALE GULLETT MD

Original Issue Date

07/16/1968

Effective Date

07/16/1968

City

MADISONVILLE

State

Zip

42431

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006