ASHLEY L GUSICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015663

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

GUSICH

Business Name

ASHLEY L GUSICH

Original Issue Date

09/16/2016

Effective Date

09/30/2022

Expiration Date

09/30/2024

City

SCOTTSDALE

State

Zip

85257

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

2023000595

Action

Suspension

Discipline Start Date

04/03/2023

Discipline End Date

02/27/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 02/28/2024.