ELLEN M GALLANT MD - Medical Doctor License in California | # 036092764

ELLEN M GALLANT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092764

License Status

INACTIVE

Business

N

First Name

ELLEN M

Last Name

GALLANT

Suffix

MD

Business Name

ELLEN M GALLANT MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

07/31/1999

State

CA

Ever Disciplined

N

LastModifiedDate

03/08/2007