ELSA A GAMBOA DDS - Dentist License in Illinois | # 019022954

ELSA A GAMBOA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022954

License Status

NOT RENEWED

Business

N

First Name

ELSA

Middle

A

Last Name

GAMBOA

Suffix

DDS

Business Name

ELSA A GAMBOA DDS

Original Issue Date

08/12/1992

Effective Date

09/17/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025