RICHARD E GALLUP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

RICHARD E

Last Name

GALLUP

Suffix

Business Name

RICHARD E GALLUP MD

Original Issue Date

07/17/1995

Effective Date

01/26/2021

Expiration Date

07/31/2023

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023