GLORIA ESTELL BULLOCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

GLORIA

Middle

ESTELL

Last Name

BULLOCK

Suffix

DDS

Business Name

GLORIA ESTELL BULLOCK DDS

Original Issue Date

01/01/1998

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022