GARY L FIELD - Dentist License in Illinois | # 018000295

GARY L FIELD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000295

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

L

Last Name

FIELD

Business Name

GARY L FIELD

Original Issue Date

09/17/1988

Effective Date

09/17/1988

Expiration Date

09/16/1989

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005