KEVIN JAMES GIBSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

JAMES

Last Name

GIBSON

Business Name

KEVIN JAMES GIBSON MD

Original Issue Date

01/06/2021

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

KIRKWOOD

State

Zip

63122

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023