EILEEN S GAVIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154792

License Status

ACTIVE

Business

Title

First Name

EILEEN

Middle

Last Name

GAVIN

Business Name

EILEEN S GAVIN MD

Original Issue Date

11/17/2020

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

MERRILL

State

Zip

54452

Ever Disciplined

LastModifiedDate

06/21/2023

Case Number

2020006418

Action

Reprimand

Discipline Start Date

11/02/2020

Discipline Reason

physician and surgeon license issued with reprimand due to an adverse action taken by the State of Wisconsin in June of 2015.