GILLIAN CLARE PET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

GILLIAN

Middle

CLARE

Last Name

PET

Business Name

GILLIAN CLARE PET MD

Original Issue Date

12/01/2018

Effective Date

12/01/2018

Expiration Date

09/30/2020

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021