ELEANOR S GOMEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

First Name

ELEANOR S

Last Name

GOMEZ

Business Name

ELEANOR S GOMEZ

Original Issue Date

08/20/1997

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024