TERRY G GARDNER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076427

License Status

NOT RENEWED

Business

Title

First Name

TERRY

Middle

Last Name

GARDNER

Business Name

TERRY G GARDNER DO

Original Issue Date

12/07/1987

Effective Date

12/07/1987

Expiration Date

07/31/2005

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/04/2013

Case Number

2004009043

Action

Suspension

Discipline Start Date

08/09/2006

Discipline Reason

Disciplined in the state of Missouri.