CONNIE F GIBSTINE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063800

License Status

INACTIVE

Business

First Name

CONNIE F

Last Name

GIBSTINE

Suffix

Business Name

CONNIE F GIBSTINE MD

Original Issue Date

01/21/1982

Effective Date

01/21/1982

Expiration Date

07/31/1990

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006