POLLY CLARE GALLAVIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

ACTIVE

Business

First Name

POLLY

Middle

CLARE

Last Name

GALLAVIN

Business Name

POLLY CLARE GALLAVIN

Original Issue Date

07/18/2017

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024