PETER KEVIN GALLAGHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

KEVIN

Last Name

GALLAGHER

Business Name

PETER KEVIN GALLAGHER MD

Original Issue Date

11/18/1985

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017