ERIC GALLIN ROBERTS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053403

License Status

CANCELLED

Business

Title

First Name

ERIC

Middle

GALLIN

Last Name

ROBERTS

Business Name

ERIC GALLIN ROBERTS MD

Original Issue Date

06/22/2007

Effective Date

06/22/2007

Expiration Date

06/21/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/05/2007