GLENN RAYMOND GAVIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017436

License Status

NOT RENEWED

Business

First Name

GLENN RAYMOND

Last Name

GAVIN

Suffix

DDS

Business Name

GLENN RAYMOND GAVIN DDS

Original Issue Date

09/15/1980

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022