MICHAEL T GILLAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GILLAM

Suffix

Business Name

MICHAEL T GILLAM MD

Original Issue Date

02/01/1999

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020