GABRIELLA MARIE BASTIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015602

License Status

ACTIVE

Business

First Name

GABRIELLA

Middle

MARIE

Last Name

BASTIN

Business Name

GABRIELLA MARIE BASTIN

Original Issue Date

07/22/2016

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

DIAMOND

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/09/2024