ROBIN LEE GALLARDI DDS Dentist License verification

Business Entity

CLOSED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

CLOSED

Business

Title

DDS

First Name

ROBIN

Middle

LEE

Last Name

GALLARDI

Business Name

ROBIN LEE GALLARDI DDS

Original Issue Date

07/26/2016

Effective Date

06/19/2018

Expiration Date

09/30/2021

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018