RICHARD E GALLUP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027746

License Status

EXPIRED

Business

First Name

RICHARD E

Last Name

GALLUP

Suffix

Business Name

RICHARD E GALLUP MD

Original Issue Date

04/27/1992

Effective Date

04/27/1992

Expiration Date

06/30/1995

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006