SHARON H GILLEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044050

License Status

EXPIRED

Business

First Name

SHARON

Middle

Last Name

GILLEN

Suffix

Business Name

SHARON H GILLEN MD

Original Issue Date

06/12/2002

Effective Date

06/12/2002

Expiration Date

06/11/2003

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006