SHABAZ QUMAR GILL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055367

License Status

EXPIRED

Business

Title

First Name

SHABAZ

Middle

QUMAR

Last Name

GILL

Business Name

SHABAZ QUMAR GILL MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

09/30/2011

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/17/2011