JONATHAN THOMAS GULLY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059892

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

THOMAS

Last Name

GULLY

Business Name

JONATHAN THOMAS GULLY MD

Original Issue Date

06/10/2011

Effective Date

06/10/2011

Expiration Date

06/09/2014

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/27/2011