MERRILL JAMES GILDERSLEEVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060431

License Status

NOT RENEWED

Business

First Name

MERRILL JAMES

Last Name

GILDERSLEEVE

Suffix

Business Name

MERRILL JAMES GILDERSLEEVE MD

Original Issue Date

06/26/1980

Effective Date

06/26/1980

Expiration Date

07/31/1999

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/20/2006