BLAIR GORDON GILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

BLAIR

Middle

GORDON

Last Name

GILL

Business Name

BLAIR GORDON GILL MD

Original Issue Date

12/08/2009

Effective Date

06/16/2017

Expiration Date

09/30/2020

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021