GARY PHILLIP BULLARD
Physician Assistant Controlled Substance
Illinois 385001017 Not Renewed
This Illinois license was held by GARY PHILLIP BULLARD. The license is no longer active. It was granted on 12/05/2003 and expired on 03/01/2006
LICENSE DETAILS
- License Number: 385001017
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 12/05/2003 (over 20 years ago)
- Expiry Date: 03/01/2006 (about 18 years ago)
LOCATIONS
A Address
BELLEVILLE, IL 62221