YOUNGIN GILMORE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

CANCELLED

Business

Title

First Name

YOUNGIN

Last Name

GILMORE

Business Name

YOUNGIN GILMORE MD

Original Issue Date

07/17/2007

Effective Date

07/17/2007

Expiration Date

07/31/2008

City

LINDENHURST

State

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008