JACQUELINE MARIA GALVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

MARIA

Last Name

GALVAN

Business Name

JACQUELINE MARIA GALVAN MD

Original Issue Date

06/27/2013

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023