MICHAEL PHILIP GAVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054776

License Status

NOT RENEWED

Business

First Name

MICHAEL PHILIP

Last Name

GAVIN

Suffix

Business Name

MICHAEL PHILIP GAVIN MD

Original Issue Date

06/30/1977

Effective Date

06/30/1977

Expiration Date

07/31/1996

City

SALEM

State

Zip

42078

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006