SUSANN L GALLOWAY - Physician Assistant License in Illinois | # 085000798

SUSANN L GALLOWAY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000798

License Status

NOT RENEWED

Business

N

First Name

SUSANN

Middle

L

Last Name

GALLOWAY

Business Name

SUSANN L GALLOWAY

Original Issue Date

04/09/1996

Effective Date

04/09/1996

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006