FORREST GILLETTE QUICK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

Title

DMD

First Name

FORREST

Middle

GILLETTE

Last Name

QUICK

Business Name

FORREST GILLETTE QUICK DMD

Original Issue Date

08/12/2019

Effective Date

08/12/2019

Expiration Date

01/31/2022

City

DENVER

State

Zip

80202

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022