GABRIELLA ANNE DEBRUYN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

GABRIELLA

Middle

ANNE

Last Name

DEBRUYN

Business Name

GABRIELLA ANNE DEBRUYN

Original Issue Date

09/23/2021

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024