CRISTIANE GURGEL DO AMARAL JEREISSATI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

CRISTIANE

Middle

GURGEL DO AMARAL

Last Name

JEREISSATI

Business Name

CRISTIANE GURGEL DO AMARAL JEREISSATI

Original Issue Date

06/27/2020

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024