MARY GEALOW Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

GEALOW

Business Name

MARY GEALOW

Original Issue Date

02/20/1996

Effective Date

02/20/1996

Expiration Date

07/31/1999

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006