KELLEY A GYLLENHAAL DDS - Dentist License in Illinois | # 021002656

KELLEY A GYLLENHAAL DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002656

License Status

ACTIVE

Business

N

First Name

KELLEY

Middle

A

Last Name

GYLLENHAAL

Suffix

DDS

Business Name

KELLEY A GYLLENHAAL DDS

Original Issue Date

06/17/2015

Effective Date

05/07/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

N

LastModifiedDate

05/07/2024