FRANCES E GOLLY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

FRANCES

Middle

Last Name

GOLLY

Suffix

DDS

Business Name

FRANCES E GOLLY DDS

Original Issue Date

06/10/2014

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018