JENNIFER ANN GALVIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048149

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

ANN

Last Name

GALVIN

Suffix

Business Name

JENNIFER ANN GALVIN MD

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

06/22/2005

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006