GREGORY THOMAS GILLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149042

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

THOMAS

Last Name

GILLES

Business Name

GREGORY THOMAS GILLES MD

Original Issue Date

04/15/2019

Effective Date

04/15/2019

Expiration Date

09/30/2020

City

WAUSAU

State

Zip

54403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021