JACQUELINE MARIA GALVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130656

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

MARIA

Last Name

GALVAN

Business Name

JACQUELINE MARIA GALVAN MD

Original Issue Date

06/27/2012

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023