JONATHAN LOUIS GIFFORD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030941

License Status

ACTIVE

Business

Title

DDS

First Name

JONATHAN

Middle

LOUIS

Last Name

GIFFORD

Business Name

JONATHAN LOUIS GIFFORD DDS

Original Issue Date

08/16/2016

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

08/13/2024