GABRIEL UTA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

First Name

GABRIEL

Last Name

UTA

Suffix

DDS

Business Name

GABRIEL UTA DDS

Original Issue Date

05/18/2000

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024