Latanya Alisa Gallon
ExpiredIllinois license 31*****74
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****74
- Status
- Expired (Not Renewed)
- First issued
- July 12, 2002
- Expired
- September 30, 2004
- License holder
- Latanya Alisa Gallon
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 07/12/2002
Other Illinois licenses under this name
-
IL
InactiveMonticello, FLExpired Sep 30, 2004
Contact
Lindenhurst, IL 60046
Lake County