PETER A GALLOS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

GALLOS

Suffix

DDS

Business Name

PETER A GALLOS DDS

Original Issue Date

07/23/2001

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60585

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024