DAVID LEE GASTON - Dentist License in Illinois | # 019018320

DAVID LEE GASTON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018320

License Status

NOT RENEWED

Business

N

First Name

DAVID LEE

Last Name

GASTON

Business Name

DAVID LEE GASTON

Original Issue Date

07/22/1982

Effective Date

09/05/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022