GARY VANDEKERCKHOVE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015523

License Status

NOT RENEWED

Business

First Name

GARY

Last Name

VANDEKERCKHOVE

Suffix

DDS

Business Name

GARY VANDEKERCKHOVE DDS

Original Issue Date

07/13/1976

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/08/2016