GAIL J MICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098017

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

Last Name

MICK

Suffix

Business Name

GAIL J MICK MD

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006