JONATHAN THOMAS GULLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133937

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

THOMAS

Last Name

GULLY

Business Name

JONATHAN THOMAS GULLY MD

Original Issue Date

09/10/2013

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

LEBANON

State

Zip

45036

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021