DOUGLAS A GARDNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077207

License Status

INACTIVE

Business

First Name

DOUGLAS A

Last Name

GARDNER

Suffix

Business Name

DOUGLAS A GARDNER MD

Original Issue Date

06/25/1988

Effective Date

06/25/1988

Expiration Date

07/31/1990

City

BEACHWOOD

State

Zip

44122

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006