MIGUEL LORENZO GALLEGOS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034929

License Status

EXPIRED

Business

First Name

MIGUEL LORENZO

Last Name

GALLEGOS

Business Name

MIGUEL LORENZO GALLEGOS

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006