IGNATIUS NATE GERODIAS DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001423

License Status

EXPIRED

Business

First Name

IGNATIUS

Middle

NATE

Last Name

GERODIAS

Suffix

DDS

Business Name

IGNATIUS NATE GERODIAS DDS

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018