GILBERT TROY GUAJARDO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001083

License Status

ACTIVE

Business

Title

DMD

First Name

GILBERT

Middle

TROY

Last Name

GUAJARDO

Business Name

GILBERT TROY GUAJARDO DMD

Original Issue Date

05/08/2021

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60477

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

08/16/2024