MICHAEL G GOMELLA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DDS

First Name

MICHAEL

Middle

Last Name

GOMELLA

Business Name

MICHAEL G GOMELLA DDS

Original Issue Date

02/07/2022

Effective Date

05/20/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2024