JEFFREY A GILLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071118

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

Last Name

GILLES

Business Name

JEFFREY A GILLES MD

Original Issue Date

07/15/1985

Effective Date

07/15/1985

Expiration Date

07/31/2005

City

COLORADO SPRINGS

State

Zip

80960

Ever Disciplined

LastModifiedDate

02/09/2007

Case Number

2003005172

Action

Probation

Discipline Start Date

02/09/2007

Discipline End Date

05/14/2007

Discipline Reason

due to an unpaid state income tax delinquency and failed to provide requested patient medical records.