RICHARD BRUCE GILMORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

BRUCE

Last Name

GILMORE

Suffix

Business Name

RICHARD BRUCE GILMORE MD

Original Issue Date

11/12/2003

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017