GWENN E GARMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

GWENN

Middle

Last Name

GARMON

Suffix

Business Name

GWENN E GARMON MD

Original Issue Date

06/20/1991

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

JACKSON

State

Zip

83002

County

WYOMING

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020