JASEN HORACE GILLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

JASEN

Middle

HORACE

Last Name

GILLEY

Business Name

JASEN HORACE GILLEY MD

Original Issue Date

05/25/2017

Effective Date

05/25/2017

Expiration Date

09/30/2020

City

LITTLE ROCK

State

Zip

72211

County

ARKANSAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021