KATHLEEN A GORMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

KATHLEEN A

Last Name

GORMAN

Business Name

KATHLEEN A GORMAN

Original Issue Date

10/11/1985

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024