SIMIL S GALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114652

License Status

NOT RENEWED

Business

First Name

SIMIL

Middle

Last Name

GALA

Business Name

SIMIL S GALA

Original Issue Date

09/23/2005

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

DE PERE

State

Zip

54115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014