TODD PATRICK GALLION Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027802

License Status

EXPIRED

Business

First Name

TODD PATRICK

Last Name

GALLION

Business Name

TODD PATRICK GALLION

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/25/1995

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006