CHRISTOPHER MICHAEL GALLOWAY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INACTIVE

Business

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

GALLOWAY

Business Name

CHRISTOPHER MICHAEL GALLOWAY

Original Issue Date

05/09/2017

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CREST HILL

State

Zip

60403

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018