MARTHA E GANO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

MARTHA E

Last Name

GANO

Business Name

MARTHA E GANO

Original Issue Date

01/07/1988

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022