SIDNEY DAVID GAULT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012015

License Status

NOT RENEWED

Business

First Name

SIDNEY DAVID

Last Name

GAULT

Suffix

DDS

Business Name

SIDNEY DAVID GAULT DDS

Original Issue Date

12/11/1961

Effective Date

12/11/1961

Expiration Date

09/30/1996

City

MT. PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005