THEODORE DWAYNE GIBSON Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000155

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

DWAYNE

Last Name

GIBSON

Business Name

THEODORE DWAYNE GIBSON

Original Issue Date

05/11/2007

Effective Date

02/08/2008

Expiration Date

04/30/2010

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

06/08/2010