SHABAZ QUMAR GILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

SHABAZ

Middle

QUMAR

Last Name

GILL

Business Name

SHABAZ QUMAR GILL MD

Original Issue Date

01/11/2013

Effective Date

05/20/2014

Expiration Date

07/31/2017

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017