EMILY SUZANNE GALLAGHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

SUZANNE

Last Name

GALLAGHER

Suffix

DDS

Business Name

EMILY SUZANNE GALLAGHER DDS

Original Issue Date

11/14/2012

Effective Date

11/14/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016