PHILLIP M PALELLA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

PHILLIP

Middle

Last Name

PALELLA

Suffix

DDS

Business Name

PHILLIP M PALELLA DDS

Original Issue Date

04/11/2008

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024