PETER A GALLOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001215

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

GALLOS

Suffix

DDS

Business Name

PETER A GALLOS DDS

Original Issue Date

06/06/2000

Effective Date

06/06/2000

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005