GABRIELLE ELEANOR CHEVANCE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

Title

DMD

First Name

GABRIELLE

Middle

ELEANOR

Last Name

CHEVANCE

Business Name

GABRIELLE ELEANOR CHEVANCE DMD

Original Issue Date

09/01/2015

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60657

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022