JACK EUGENE GILLEN DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003166

License Status

INACTIVE

Business

First Name

JACK EUGENE

Last Name

GILLEN

Suffix

Business Name

JACK EUGENE GILLEN DC

Original Issue Date

12/09/1965

Effective Date

12/09/1965

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006