RICHARD DAVIS GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032566

License Status

NOT RENEWED

Business

First Name

RICHARD DAVIS

Last Name

GIBSON

Suffix

Business Name

RICHARD DAVIS GIBSON MD

Original Issue Date

01/18/1954

Effective Date

01/18/1954

Expiration Date

07/01/1982

City

WEST BEND

State

Zip

53095

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006