License holder summary

Jacob Lee Galloway is a Physician Assistant licensed to practice in Indiana. The address on file for Jacob Lee Galloway is La Porte IN 46350. This licensed professional license is current. The license was granted 10/10/2014 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Jacob Lee Galloway
Physician Assistant
License number
10001745A
Date granted
10/10/2014
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
La Porte IN 46350
indianalicensing.org
ID 29180550
LAST UPDATED 2024-04-01 11:38:05 UTC

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