GALEN HOWARD CHURCH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041005

License Status

EXPIRED

Business

First Name

GALEN

Middle

HOWARD

Last Name

CHURCH

Suffix

Business Name

GALEN HOWARD CHURCH DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006