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Credential/License Summary for 25269

Name: GILLIS, BETH L
Profession: MEDICINE AND SURGERY (20)
Credential/License Number: 25269-20
Location: SHAWANO WI
Credential/License Type: regular
Status: License is current (Active)
Eligible To Practice: credential license is current

Details
Requirements
Payments
Orders
Relationships

Credential/License current through: 10/31/2027
Granted date: 7/1/1983
Multi-state: Y
Orders: NONE
Specialties: FAMILY PRACTICE, FAMILY MEDICINE
Other Names: Beth L Gillis
Beth L Gillis MD
Beth L. Gillis M.D.

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2021
FEE requirement complied 09/29/2021
SIG requirement complied 09/29/2021
Renewal Year Amount Paid Payment Received
2021 60 09/29/2021

No data found.

Individuals
Name Location Relationship Start Date
FRANKE, SUSAN SHAWANO WI EMPLOYER 05/07/2002
FRANKE, SUSAN SHAWANO WI PHYSASSTNT - MD 05/07/2002
Organizations
Name Location Relationship Start Date

No data found.

ATTENTION: If a renewal application including payment is received by the renew by date (or Credential/License current through date), the credential holder is eligible to practice while the credential renewal is being processed. The credential holder must respond to any requests for information during the renewal process. See Wis. Stat. ยง 227.51(2).

Requirement Code Description

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