EUGENE M GILLUM M D INC

Medical Licensing Board - Medical Corporation

Indiana  50001690A   Expired

This Indiana license was held by EUGENE M GILLUM M D INC. The license is no longer active. It was granted on 01/21/1980 and expired on 01/31/2004

LICENSE DETAILS

  • License Number: 50001690A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 01/21/1980 (over 45 years ago)
  • Expiry Date: 01/31/2004 (over 21 years ago)

LOCATIONS

A Address

1204 W. Votaw St., Portland IN 47371