JOHN WALSH GALLEGOS 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

Title

DDS

First Name

JOHN

Middle

WALSH

Last Name

GALLEGOS

Business Name

JOHN WALSH GALLEGOS DDS

Original Issue Date

10/12/2017

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022