RONALD GAYLE HOLMAN D D S Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

RONALD GAYLE

Last Name

HOLMAN D D S

Business Name

RONALD GAYLE HOLMAN D D S

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

PARK FOREST

State

Zip

60466

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005