FRED WAYNE GASKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052047

License Status

NOT RENEWED

Business

First Name

FRED WAYNE

Last Name

GASKIN

Suffix

Business Name

FRED WAYNE GASKIN MD

Original Issue Date

10/17/1975

Effective Date

10/17/1975

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006