GEORGE MICHAEL GALLANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

GEORGE MICHAEL

Last Name

GALLANT

Suffix

Business Name

GEORGE MICHAEL GALLANT MD

Original Issue Date

01/01/1997

Effective Date

07/22/2020

Expiration Date

07/31/2023

City

CASTLE ROCK

State

Zip

80109

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023