GALEN HOWARD CHURCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

GALEN

Middle

HOWARD

Last Name

CHURCH

Suffix

Business Name

GALEN HOWARD CHURCH DO

Original Issue Date

02/07/2025

Effective Date

02/07/2025

Expiration Date

07/31/2026

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024