ELLEN M GALLANT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092764

License Status

INACTIVE

Business

First Name

ELLEN M

Last Name

GALLANT

Suffix

Business Name

ELLEN M GALLANT MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

07/31/1999

City

SAN DIEGO

State

Zip

92122

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/08/2007