MERRILL JAMES GILDERSLEEVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MERRILL JAMES

Last Name

GILDERSLEEVE

Suffix

Business Name

MERRILL JAMES GILDERSLEEVE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006