GERARD S CHRABOT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

GERARD S

Last Name

CHRABOT

Business Name

GERARD S CHRABOT

Original Issue Date

09/02/1982

Effective Date

09/02/1982

Expiration Date

09/30/1988

City

FULTON

State

Zip

61252

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005