MARTIANN M GAVIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011335

License Status

ACTIVE

Business

First Name

MARTIANN

Middle

Last Name

GAVIN

Business Name

MARTIANN M GAVIN

Original Issue Date

06/27/2005

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/10/2024