ADA MARGARET GILLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

ADA

Middle

MARGARET

Last Name

GILLIS

Business Name

ADA MARGARET GILLIS MD

Original Issue Date

07/30/2012

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017