Gary Phillip Bullard
ExpiredIllinois license 38*****17
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****17
- Status
- Expired (Not Renewed)
- First issued
- December 5, 2003
- Expired
- March 1, 2006
- License holder
- Gary Phillip Bullard
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 12/05/2003
Other Illinois licenses under this name
-
IL
ExpiredBelleville, ILExpired Mar 1, 2006
Contact
Belleville, IL 62221
Saint Clair County