GABRIEL UTA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025179

License Status

ACTIVE

Business

First Name

GABRIEL

Last Name

UTA

Suffix

DDS

Business Name

GABRIEL UTA DDS

Original Issue Date

12/15/1999

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

Ever Disciplined

LastModifiedDate

09/25/2024