GERALD JAY GRAY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000039

License Status

NOT RENEWED

Business

First Name

GERALD JAY

Last Name

GRAY

Suffix

DDS

Business Name

GERALD JAY GRAY DDS

Original Issue Date

08/27/1996

Effective Date

08/27/1996

Expiration Date

06/30/1998

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005