KELLY ANNE GALANOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066050

License Status

CANCELLED

Business

Title

First Name

KELLY

Middle

ANNE

Last Name

GALANOS

Business Name

KELLY ANNE GALANOS MD

Original Issue Date

07/09/2014

Effective Date

07/09/2014

Expiration Date

07/08/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/09/2014