TIMOTHY LAWRENCE GILLISON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

LAWRENCE

Last Name

GILLISON

Suffix

Business Name

TIMOTHY LAWRENCE GILLISON MD

Original Issue Date

06/02/2010

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023