ZACHARY JACOB GOMOLA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DMD

First Name

ZACHARY

Middle

JACOB

Last Name

GOMOLA

Business Name

ZACHARY JACOB GOMOLA DMD

Original Issue Date

05/24/2021

Effective Date

10/18/2021

Expiration Date

09/30/2024

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025