GARY T MORREALE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

GARY T

Last Name

MORREALE

Business Name

GARY T MORREALE

Original Issue Date

09/15/1986

Effective Date

09/15/1986

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60653

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005