KEVIN DONALD GALLAGHER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

KEVIN DONALD

Last Name

GALLAGHER

Business Name

KEVIN DONALD GALLAGHER

Original Issue Date

06/22/1989

Effective Date

06/22/1989

Expiration Date

09/30/1994

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005