GWEN M CHARNOTA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

GWEN M

Last Name

CHARNOTA

Business Name

GWEN M CHARNOTA

Original Issue Date

01/10/1986

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

NORRIDGE

State

Zip

60700

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024