FREDERICK GUSTAVE DDS - Dentist License in Illinois | # 137000296

FREDERICK GUSTAVE DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000296

License Status

ACTIVE

Business

N

First Name

FREDERICK

Last Name

GUSTAVE

Suffix

DDS

Business Name

FREDERICK GUSTAVE DDS

Original Issue Date

07/24/1992

Effective Date

09/15/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

09/15/2024