GENE D PRENDERGAST DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066544

License Status

NOT RENEWED

Business

First Name

GENE D

Last Name

PRENDERGAST

Suffix

Business Name

GENE D PRENDERGAST DO

Original Issue Date

05/18/1983

Effective Date

05/18/1983

Expiration Date

07/31/1984

City

MASSILLON

State

Zip

44646

County

OHIO

Ever Disciplined

LastModifiedDate

02/22/2007