VANESSA CHANTELL GALLIEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070471

License Status

EXPIRED

Business

Title

First Name

VANESSA

Middle

CHANTELL

Last Name

GALLIEN

Business Name

VANESSA CHANTELL GALLIEN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020