NATHAN CHRISTIAN GILLING DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

NATHAN

Middle

CHRISTIAN

Last Name

GILLING

Business Name

NATHAN CHRISTIAN GILLING DO

Original Issue Date

06/08/2017

Effective Date

08/19/2023

Expiration Date

07/31/2026

City

LAKE GENEVA

State

Zip

53147

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2023