KEVIN GARY GALSTYAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112083

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

GARY

Last Name

GALSTYAN

Business Name

KEVIN GARY GALSTYAN

Original Issue Date

08/10/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008