License holder summary

Gillum Facial Plastic Surgery, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Gillum Facial Plastic Surgery, PC is 330 N. Wabash Ave, Ste 410, Marion IN 46952. This licensed professional license is not current. The license was granted 04/05/2004 and expired on 01/31/2008.

Indiana

Professional Licensing Agency

Gillum Facial Plastic Surgery, PC
Medical Licensing Board - Medical Corporation
License number
50004604A
Date granted
04/05/2004
Date expires
01/31/2008
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
330 N. Wabash Ave, Ste 410, Marion IN 46952
indianalicensing.org
ID 24830582
LAST UPDATED 2024-05-06 08:23:22 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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