GARY C AN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087054

License Status

NOT RENEWED

Business

First Name

GARY C

Last Name

Suffix

Business Name

GARY C AN MD

Original Issue Date

08/03/1993

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

WINOOSKI

State

Zip

05404

Ever Disciplined

LastModifiedDate

01/14/2021