J GORDON MILLICHAP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038827

License Status

NOT RENEWED

Business

First Name

J GORDON

Last Name

MILLICHAP

Suffix

Business Name

J GORDON MILLICHAP MD

Original Issue Date

11/26/1963

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017