DAVID LEE GASTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001298

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

05/09/2022