PAUL TIMOTHY GUSTAFSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115070

License Status

ACTIVE

Business

First Name

PAUL

Middle

TIMOTHY

Last Name

GUSTAFSON

Suffix

Business Name

PAUL TIMOTHY GUSTAFSON DO

Original Issue Date

01/05/2006

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

SHREVEPORT

State

Zip

71104

Ever Disciplined

LastModifiedDate

07/13/2023

Case Number

2015003437

Action

Reprimand

Discipline Start Date

06/22/2015

Discipline Reason

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