TAIYE A GILLES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042951

License Status

EXPIRED

Business

Title

First Name

TAIYE

Middle

Last Name

GILLES

Business Name

TAIYE A GILLES MD

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

06/27/2004

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006