ANNA GAELLE URBANO DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002009

License Status

EXPIRED

Business

Title

DDS

First Name

ANNA

Middle

GAELLE

Last Name

URBANO

Business Name

ANNA GAELLE URBANO DDS

Original Issue Date

07/19/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/19/2017