CLARENCE P GALLEGOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072247

License Status

NOT RENEWED

Business

First Name

CLARENCE P

Last Name

GALLEGOS

Suffix

Business Name

CLARENCE P GALLEGOS MD

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

07/31/1990

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

09/20/2006