PAMELA ELENI DAVALLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

ELENI

Last Name

DAVALLE

Business Name

PAMELA ELENI DAVALLE

Original Issue Date

08/31/1984

Effective Date

08/25/2015

Expiration Date

09/30/2018

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018