HOWARD GILLIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****56

NOT RENEWED

N

HOWARD

GILLIS

MD

HOWARD GILLIS MD

06/29/1998

06/29/1998

07/31/2005

BERWYN

IL

60402

COOK

II III IV V

N

10/09/2006