SUZANNE MARIE GALLOWAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050556

License Status

CANCELLED

Business

First Name

SUZANNE

Middle

MARIE

Last Name

GALLOWAY

Suffix

Business Name

SUZANNE MARIE GALLOWAY MD

Original Issue Date

02/16/2006

Effective Date

02/16/2006

Expiration Date

02/15/2009

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006