JUSTIN MICHAEL GELLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

MICHAEL

Last Name

GELLER

Suffix

DDS

Business Name

JUSTIN MICHAEL GELLER DDS

Original Issue Date

02/13/2001

Effective Date

02/13/2001

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005