JEFFREY S GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

GIBSON

Suffix

Business Name

JEFFREY S GIBSON MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014