GARY PHILLIP BULLARD
Licensed Physician Assistant
Illinois 085002102 Not Renewed
This Illinois license was held by GARY PHILLIP BULLARD. The license is no longer active. It was granted on 10/01/2003 and expired on 03/01/2006
LICENSE DETAILS
- License Number: 085002102
- Category: LICENSED PHYSICIAN ASSISTANT
- Status: Not Renewed
- Date Granted: 10/01/2003 (over 20 years ago)
- Expiry Date: 03/01/2006 (about 18 years ago)
LOCATIONS
A Address
BELLEVILLE, IL 62221