GARY ALAN KAUFFMAN DDS - Dentist License in Illinois | # 137000604

GARY ALAN KAUFFMAN DDS

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000604

License Status

CANCELLED

Business

N

First Name

GARY

Middle

ALAN

Last Name

KAUFFMAN

Suffix

DDS

Business Name

GARY ALAN KAUFFMAN DDS

Original Issue Date

10/20/2003

Effective Date

10/20/2003

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

07/24/2006