DIETER PAUL GEBAUER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001234

License Status

NOT RENEWED

Business

First Name

DIETER

Middle

PAUL

Last Name

GEBAUER

Business Name

DIETER PAUL GEBAUER

Original Issue Date

06/29/2000

Effective Date

06/29/2000

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005