MIGUEL E GAMBETTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

MIGUEL E

Last Name

GAMBETTA

Suffix

DDS

Business Name

MIGUEL E GAMBETTA DDS

Original Issue Date

09/15/1993

Effective Date

09/23/2009

Expiration Date

09/30/2012

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012