DAVID GEORGE GARDNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042219

License Status

NOT RENEWED

Business

First Name

DAVID GEORGE

Last Name

GARDNER

Suffix

Business Name

DAVID GEORGE GARDNER MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

City

WHITE SANDS

State

Zip

88002

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006