NATHAN PATRICK GALLAGHER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067643

License Status

EXPIRED

Business

Title

First Name

NATHAN

Middle

PATRICK

Last Name

GALLAGHER

Business Name

NATHAN PATRICK GALLAGHER MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018