PETER KEVIN GALLAGHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

KEVIN

Last Name

GALLAGHER

Business Name

PETER KEVIN GALLAGHER MD

Original Issue Date

11/13/1985

Effective Date

11/13/1985

Expiration Date

07/31/1987

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017