PHILLIP C GALLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

PHILLIP C

Last Name

GALLE

Suffix

Business Name

PHILLIP C GALLE MD

Original Issue Date

10/10/1984

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020