MATTHEW E GAUTHIER DDS 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

MATTHEW

Middle

Last Name

GAUTHIER

Suffix

DDS

Business Name

MATTHEW E GAUTHIER DDS

Original Issue Date

07/24/2002

Effective Date

07/24/2002

Expiration Date

09/30/2006

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006