License Search: Details

Name	Title	Primary Practice Location	Licensed Or Has Been Licensed In
Jack Mayfield Gibbs	PA		No other states on file

License Type	License Number	Status	License Date	Expiration Date
PPA	181	Surrendered	09/13/1982	06/01/1991

School	Date Completed	Nature of Training
Physician Assistant Program Baylor College Of Medicine	02/02/1977	Physician Assistant School

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Voluntary Surrender of License	05/24/1991	Consent Order

No Malpractice Cases On Record

Collaborating Physician	Authorized to Practice	Authorized to Prescribe	Primary Work Location	Designated Alternate Supervisor(s)

This data was retrieved on 4/17/2026.

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