MICHAEL J GIBSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000500

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GIBSON

Business Name

MICHAEL J GIBSON

Original Issue Date

06/27/1992

Effective Date

06/27/1992

Expiration Date

03/01/2006

City

SPENCERVILLE

State

Zip

74760

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/09/2006