WALTER GIBSON HOLLOMAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061640

License Status

NOT RENEWED

Business

First Name

WALTER GIBSON

Last Name

HOLLOMAN JR

Suffix

Business Name

WALTER GIBSON HOLLOMAN JR MD

Original Issue Date

02/11/1981

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014