Indiana
Professional Licensing Agency
EUGENE M GILLUM M D INC
Medical Licensing Board - Medical Corporation
License number
50001690A
Date granted
01/21/1980
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1204 W. Votaw St., Portland IN 47371
indianalicensing.org
ID 24833108
LAST UPDATED 2024-03-03 17:02:50 UTC
LAST UPDATED 2024-03-03 17:02:50 UTC
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