LUIS N GALUP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040979

License Status

NOT RENEWED

Business

First Name

LUIS

Middle

Last Name

GALUP

Suffix

Business Name

LUIS N GALUP MD

Original Issue Date

05/25/1967

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

SOUTH BEND

State

Zip

46601

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014