ALEXANDER JAMES GALLAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062782

License Status

CANCELLED

Business

Title

First Name

ALEXANDER

Middle

JAMES

Last Name

GALLAN

Business Name

ALEXANDER JAMES GALLAN MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

01/19/2016