ELSA A GAMBOA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

ELSA

Middle

Last Name

GAMBOA

Suffix

DDS

Business Name

ELSA A GAMBOA DDS

Original Issue Date

11/25/1992

Effective Date

10/25/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025