PETER KEVIN GALLAGHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

KEVIN

Last Name

GALLAGHER

Business Name

PETER KEVIN GALLAGHER MD

Original Issue Date

12/27/1983

Effective Date

12/27/1983

Expiration Date

07/31/1987

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017