THOMAS ANTHONY GALLAGHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ANTHONY

Last Name

GALLAGHER

Suffix

Business Name

THOMAS ANTHONY GALLAGHER MD

Original Issue Date

06/23/2011

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017