SUSAN KATHLEEN GIBBONS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161870

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Middle

KATHLEEN

Last Name

GIBBONS

Business Name

SUSAN KATHLEEN GIBBONS MD

Original Issue Date

08/08/2022

Effective Date

08/08/2022

Expiration Date

07/31/2023

City

GLENMONT

State

Zip

12077

Ever Disciplined

LastModifiedDate

11/30/2023