GLENN RAYMOND GAVIN DDS - Dentist License in Illinois | # 019017436

GLENN RAYMOND GAVIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017436

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022