GHISLAINE T ROE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

First Name

GHISLAINE T

Last Name

ROE

Business Name

GHISLAINE T ROE

Original Issue Date

04/19/1991

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/06/2024