GUSTAVO ADOLFO GALUE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050260

License Status

CANCELLED

Business

First Name

GUSTAVO

Middle

ADOLFO

Last Name

GALUE

Suffix

Business Name

GUSTAVO ADOLFO GALUE MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

BLOOMINGTON

State

Zip

61704

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006