Latanya Alisa Gallon

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019025850

Status

Inactive

First issued

June 11, 2002

Expired

September 30, 2004

License holder

Latanya Alisa Gallon

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

06/11/2002

Other Illinois licenses under this name

• IL
  Latanya Alisa Gallon

  License 31*****74

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Lindenhurst, IL

  Expired Sep 30, 2004

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