STACEY B GALANIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

GALANIS

Suffix

DDS

Business Name

STACEY B GALANIS DDS

Original Issue Date

11/16/1993

Effective Date

09/12/2012

Expiration Date

09/30/2015

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016