GABRIEL JOSHUA SANGALANG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DMD

First Name

GABRIEL

Middle

JOSHUA

Last Name

SANGALANG

Business Name

GABRIEL JOSHUA SANGALANG DMD

Original Issue Date

10/15/2010

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016