CARLOS A GALVANI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048747

License Status

EXPIRED

Business

First Name

CARLOS

Middle

Last Name

GALVANI

Suffix

Business Name

CARLOS A GALVANI MD

Original Issue Date

08/13/2004

Effective Date

08/13/2004

Expiration Date

08/12/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Laparoscopic Bariatric Surgery

Ever Disciplined

LastModifiedDate

09/22/2006