KEVIN DONALD GALLAGHER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

KEVIN DONALD

Last Name

GALLAGHER

Business Name

KEVIN DONALD GALLAGHER

Original Issue Date

10/29/1985

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024