MARK EDWARD GILLESPIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097936

License Status

NOT RENEWED

Business

First Name

MARK

Middle

EDWARD

Last Name

GILLESPIE

Suffix

Business Name

MARK EDWARD GILLESPIE MD

Original Issue Date

06/08/1998

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

01/14/2021