GISELLE C COELHO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

Title

DMD

First Name

GISELLE

Middle

Last Name

COELHO

Business Name

GISELLE C COELHO DMD

Original Issue Date

07/24/2006

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016