JASON P GILLERAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038241

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

GILLERAN

Business Name

JASON P GILLERAN

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006