KEVIN GARY GALSTYAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

GARY

Last Name

GALSTYAN

Business Name

KEVIN GARY GALSTYAN

Original Issue Date

08/10/2004

Effective Date

08/10/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008