BRIAN A ZALE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

ZALE

Suffix

DMD

Business Name

BRIAN A ZALE DMD

Original Issue Date

04/16/2009

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/30/2024