ROBIN LEE GALLARDI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

Title

DDS

First Name

ROBIN

Middle

LEE

Last Name

GALLARDI

Business Name

ROBIN LEE GALLARDI DDS

Original Issue Date

08/03/2017

Effective Date

08/03/2017

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018