GARY TODD GILLHAM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122133

License Status

NOT RENEWED

Business

First Name

GARY

Middle

TODD

Last Name

GILLHAM

Suffix

Business Name

GARY TODD GILLHAM DO

Original Issue Date

10/28/2008

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017