ERIC P GALL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

CANCELLED

Business

First Name

ERIC P

Last Name

GALL

Suffix

Business Name

ERIC P GALL MD

Original Issue Date

09/09/1994

Effective Date

06/20/2008

Expiration Date

07/31/2011

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011