MOSE ALFRED GALLUZZO Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****61

License Status

CANCELLED

Business

First Name

MOSE ALFRED

Last Name

GALLUZZO

Business Name

MOSE ALFRED GALLUZZO

Original Issue Date

01/01/1998

Expiration Date

01/31/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006

Case Number

1996013102

Action

Suspension

Discipline Start Date

01/10/1998

Discipline End Date

01/09/1999