MARLENE GALLEGOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052842

License Status

EXPIRED

Business

Title

First Name

MARLENE

Last Name

GALLEGOS

Business Name

MARLENE GALLEGOS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

07/19/2011