JEFFREY G ZELLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

ZELLER

Business Name

JEFFREY G ZELLER

Original Issue Date

03/08/2013

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

KENOSHA

State

Zip

53142

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024