GARY ANTHONY FORGACH DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001889

License Status

EXPIRED

Business

Title

DDS

First Name

GARY

Middle

ANTHONY

Last Name

FORGACH

Business Name

GARY ANTHONY FORGACH DDS

Original Issue Date

07/19/2013

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

09/19/2017