KELLEY A GYLLENHAAL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002656

License Status

ACTIVE

Business

First Name

KELLEY

Middle

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

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

05/07/2024