MANUEL E GORDILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

MANUEL E

Last Name

GORDILLO

Suffix

Business Name

MANUEL E GORDILLO MD

Original Issue Date

02/17/1989

Effective Date

02/17/1989

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006