DANIEL P GIBSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

GIBSON

Business Name

DANIEL P GIBSON

Original Issue Date

08/18/1987

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2024