JEFFREY S GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114963

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

GIBSON

Suffix

Business Name

JEFFREY S GIBSON MD

Original Issue Date

12/09/2005

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014