TAIYE A GILLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111706

License Status

NOT RENEWED

Business

Title

First Name

TAIYE

Middle

Last Name

GILLES

Business Name

TAIYE A GILLES MD

Original Issue Date

06/28/2004

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CARLSBAD

State

Zip

92009

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014