SHABAZ QUMAR GILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131927

License Status

NOT RENEWED

Business

Title

First Name

SHABAZ

Middle

QUMAR

Last Name

GILL

Business Name

SHABAZ QUMAR GILL MD

Original Issue Date

01/11/2013

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017