MICHAEL T GILLAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099418

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

GILLAM

Suffix

Business Name

MICHAEL T GILLAM MD

Original Issue Date

12/22/1998

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

20003

Ever Disciplined

LastModifiedDate

02/23/2024