KRISTEN AILEEN GALLAGHER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

KRISTEN

Middle

AILEEN

Last Name

GALLAGHER

Business Name

KRISTEN AILEEN GALLAGHER DO

Original Issue Date

04/01/2020

Effective Date

08/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2023