GARY TODD GILLHAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046192

License Status

EXPIRED

Business

First Name

GARY

Middle

TODD

Last Name

GILLHAM

Suffix

Business Name

GARY TODD GILLHAM DO

Original Issue Date

05/14/2003

Effective Date

05/14/2003

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

09/22/2006