JULIANNE J GATLIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055381

License Status

CANCELLED

Business

First Name

JULIANNE

Middle

Last Name

GATLIN

Suffix

Business Name

JULIANNE J GATLIN DO

Original Issue Date

06/20/2008

Effective Date

06/20/2008

Expiration Date

06/19/2011

City

PLAINFIELD

State

Zip

60585

County

WILL

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/30/2008