RONALD LEE GILLUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039789

License Status

INACTIVE

Business

First Name

RONALD LEE

Last Name

GILLUM

Suffix

Business Name

RONALD LEE GILLUM MD

Original Issue Date

07/01/1965

Effective Date

07/01/1965

Expiration Date

07/31/1987

City

EDMOND

State

Zip

73013

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006