ROBERTZON T GULOY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

ROBERTZON

Middle

Last Name

GULOY DMD

Business Name

ROBERTZON T GULOY DMD

Original Issue Date

10/12/2011

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022