License holder summary

George Stephen Gilliam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for George Stephen Gilliam is St. Mary's Warrick, 1116 Mills Ave., Boonville IN 47601. This licensed professional license is current. The license was granted 04/28/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

George Stephen Gilliam
Controlled Substance Registration - Physician
License number
01035778C
Date granted
04/28/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary's Warrick, 1116 Mills Ave., Boonville IN 47601
indianalicensing.org
ID 5827222
LAST UPDATED 2024-03-05 06:40:48 UTC

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