VINNY SHANTILAL GALA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

First Name

VINNY

Middle

SHANTILAL

Last Name

GALA

Business Name

VINNY SHANTILAL GALA

Original Issue Date

12/28/2021

Effective Date

06/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2024