GREGORY MICHAEL SHUBAT - Dentist License in Illinois | # 019019149

GREGORY MICHAEL SHUBAT

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019149

License Status

NOT RENEWED

Business

N

First Name

GREGORY MICHAEL

Last Name

SHUBAT

Business Name

GREGORY MICHAEL SHUBAT

Original Issue Date

08/06/1984

Effective Date

10/16/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025