MANUEL E GORDILLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020948

License Status

EXPIRED

Business

First Name

MANUEL E

Last Name

GORDILLO

Suffix

Business Name

MANUEL E GORDILLO MD

Original Issue Date

05/23/1987

Effective Date

05/23/1987

Expiration Date

06/26/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006