VINCENT LAVALLES GILLS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049659

License Status

EXPIRED

Business

First Name

VINCENT

Middle

LAVALLES

Last Name

GILLS

Suffix

Business Name

VINCENT LAVALLES GILLS MD

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

06/26/2006

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006