License holder summary

Keith Benjamin Gustafson is a Medical - Medical Doctor licensed to practice in Alabama. The address on file for Keith Benjamin Gustafson is Portsmouth, Virginia. This licensed professional license is not current. The license was granted 07/28/1999 and expired on 12/31/2003.

Alabama

Board of Licensing

Keith Benjamin Gustafson
Medical - Medical Doctor
License number
MD.22795
Date granted
07/28/1999
Date expires
12/31/2003
Class
Medical - Medical Doctor
Status
Inactive
Address
Portsmouth, Virginia
alabamalicensing.org
ID 21359719
LAST UPDATED 2024-03-12 12:33:46 UTC

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