SUZANNE MARIE GALLOWAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

MARIE

Last Name

GALLOWAY

Suffix

Business Name

SUZANNE MARIE GALLOWAY MD

Original Issue Date

07/07/2010

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

GRAND HAVEN

State

Zip

49417

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2023