CHRIS B GAMBLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

CHRIS B

Last Name

GAMBLA

Business Name

CHRIS B GAMBLA

Original Issue Date

09/24/1987

Effective Date

09/05/2012

Expiration Date

09/30/2015

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2015