DAVID LEE GASTON - Dentist License in Illinois | # 021001298

DAVID LEE GASTON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001298

License Status

NOT RENEWED

Business

N

First Name

DAVID LEE

Last Name

GASTON

Business Name

DAVID LEE GASTON

Original Issue Date

09/09/1986

Effective Date

09/05/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

05/09/2022