LISA ANN GALLOWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137192

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

ANN

Last Name

GALLOWAY

Business Name

LISA ANN GALLOWAY MD

Original Issue Date

01/30/2015

Effective Date

01/30/2015

Expiration Date

07/31/2017

City

WINCHESTER

State

Zip

40391

Ever Disciplined

LastModifiedDate

11/01/2017