JACINTA IRENE GILLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105672

License Status

NOT RENEWED

Business

First Name

JACINTA

Middle

IRENE

Last Name

GILLIS

Suffix

Business Name

JACINTA IRENE GILLIS MD

Original Issue Date

10/03/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FORT MYERS, FLORIDA

State

Zip

33913

County

LEE

Ever Disciplined

LastModifiedDate

01/03/2013

Case Number

2011007381

Action

Refuse To Renew

Discipline Start Date

12/20/2012

Discipline Reason

due to a sister-state violation in Florida.