GREGORY LEE DERRY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016263

License Status

ACTIVE

Business

First Name

GREGORY LEE

Last Name

DERRY

Suffix

DDS

Business Name

GREGORY LEE DERRY DDS

Original Issue Date

04/28/1978

Effective Date

09/07/2024

Expiration Date

09/30/2027

City

CUBA

State

Zip

61427

County

FULTON

Ever Disciplined

LastModifiedDate

09/07/2024