GREGORY EDWARD MICK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062391

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

EDWARD

Last Name

MICK

Suffix

Business Name

GREGORY EDWARD MICK DO

Original Issue Date

06/19/1981

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

LEXINGTON

State

Zip

40515

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2016008488

Action

Suspension

Discipline Start Date

03/24/2017

Discipline Reason

due to a sister-state discipline in the state of Kentucky.