GORDON MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048520

License Status

NOT RENEWED

Business

First Name

GORDON

Last Name

MONTGOMERY

Suffix

Business Name

GORDON MONTGOMERY MD

Original Issue Date

12/18/1973

Effective Date

12/18/1973

City

FLORISSANT

State

Zip

63031

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006