GARRETT DAVID GAST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028623

License Status

NOT RENEWED

Business

First Name

GARRETT

Middle

DAVID

Last Name

GAST

Suffix

DDS

Business Name

GARRETT DAVID GAST DDS

Original Issue Date

06/01/2011

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018