PATRICK HENRY GIBBONS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139332

License Status

INACTIVE

Business

Title

First Name

PATRICK

Middle

HENRY

Last Name

GIBBONS

Business Name

PATRICK HENRY GIBBONS MD

Original Issue Date

11/03/2015

Effective Date

11/03/2015

Expiration Date

07/31/2017

City

WEBSTER

State

Zip

14580

Ever Disciplined

LastModifiedDate

06/01/2017