DAVID A GALLUP Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

GALLUP

Business Name

DAVID A GALLUP

Original Issue Date

07/08/1982

Effective Date

07/08/1982

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006