PETER KEVIN GALLAGHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

PETER

Middle

KEVIN

Last Name

GALLAGHER

Business Name

PETER KEVIN GALLAGHER MD

Original Issue Date

02/11/2024

Effective Date

02/11/2024

Expiration Date

07/31/2026

City

CHESTER

State

Zip

62233

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2024