CATHLEEN DEVONA GUSTAT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005256

License Status

NOT RENEWED

Business

First Name

CATHLEEN

Middle

DEVONA

Last Name

GUSTAT

Business Name

CATHLEEN DEVONA GUSTAT

Original Issue Date

07/18/1983

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/04/2009