IAN W GALLEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026479

License Status

EXPIRED

Business

First Name

IAN

Middle

Last Name

GALLEN

Business Name

IAN W GALLEN

Original Issue Date

05/08/1991

Effective Date

05/08/1991

Expiration Date

05/04/1994

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006