MICHAEL JUAN GILMORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034020

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

JUAN

Last Name

GILMORE

Suffix

Business Name

MICHAEL JUAN GILMORE MD

Original Issue Date

03/30/1996

Effective Date

03/30/1996

Expiration Date

06/30/1999

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006