THEODORE J GALVANI JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089612

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

GALVANI

Suffix

JR MD

Business Name

THEODORE J GALVANI JR MD

Original Issue Date

09/09/1994

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1994004588

Action

Probation

Discipline Start Date

09/09/1994

Discipline Reason

License issued on probation due to a history of alcohol and substance abuse.