EMILY SUZANNE GALLAGHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

SUZANNE

Last Name

GALLAGHER

Suffix

DDS

Business Name

EMILY SUZANNE GALLAGHER DDS

Original Issue Date

12/16/2004

Effective Date

09/14/2009

Expiration Date

09/30/2012

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012