EVAN ROBERT GALLEGOS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

Title

DMD

First Name

EVAN

Middle

ROBERT

Last Name

GALLEGOS

Business Name

EVAN ROBERT GALLEGOS DMD

Original Issue Date

06/30/2021

Effective Date

06/27/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2024