SIMIL S GALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

SIMIL

Middle

Last Name

GALA

Business Name

SIMIL S GALA

Original Issue Date

08/09/2006

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011