ANTHONY RONALD GAMBLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

ANTHONY RONALD

Last Name

GAMBLA

Suffix

DDS

Business Name

ANTHONY RONALD GAMBLA DDS

Original Issue Date

01/01/1998

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/14/2012