JAY GOSALIA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

JAY

Last Name

GOSALIA

Business Name

JAY GOSALIA

Original Issue Date

07/11/2018

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

ROSELLE

State

Zip

60172

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2024