JASON RAY GILLIHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

JASON

Middle

RAY

Last Name

GILLIHAN

Suffix

Business Name

JASON RAY GILLIHAN MD

Original Issue Date

05/06/2010

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014