MARIBEL P GALIANO GOLL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MARIBEL P

Last Name

GALIANO GOLL

Business Name

MARIBEL P GALIANO GOLL

Original Issue Date

06/11/2019

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

KILDEER

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023