GARY EDWARD BURG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014533

License Status

INACTIVE

Business

First Name

GARY

Middle

EDWARD

Last Name

BURG

Business Name

GARY EDWARD BURG

Original Issue Date

07/11/1973

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

06/07/2018