BENJAMIN RAYMOND GALLOWAY DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001080

License Status

EXPIRED

Business

Title

DPM

First Name

BENJAMIN

Middle

RAYMOND

Last Name

GALLOWAY

Business Name

BENJAMIN RAYMOND GALLOWAY DPM

Original Issue Date

06/03/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2025