GARY L FIELD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000295

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

FIELD

Business Name

GARY L FIELD

Original Issue Date

09/17/1988

Effective Date

09/17/1988

Expiration Date

09/16/1989

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005