ROBERT E GULLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

GULLEY

Business Name

ROBERT E GULLEY

Original Issue Date

03/09/1993

Effective Date

03/09/1993

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005