GERALD MICHAEL DONNELLI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

GERALD MICHAEL

Last Name

DONNELLI

Suffix

DDS

Business Name

GERALD MICHAEL DONNELLI DDS

Original Issue Date

07/31/1981

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022