SHEA GALLUS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076399

License Status

CANCELLED

Business

Title

First Name

SHEA

Last Name

GALLUS

Business Name

SHEA GALLUS DO

Original Issue Date

06/29/2020

Effective Date

06/29/2020

Expiration Date

06/30/2023

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/04/2020