KYLE JOHN MACGILLIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062083

License Status

EXPIRED

Business

Title

First Name

KYLE

Middle

JOHN

Last Name

MACGILLIS

Business Name

KYLE JOHN MACGILLIS MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2017

City

NESCONSET

State

Zip

11767

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/19/2017