GEHAN M ADAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

GEHAN

Middle

Last Name

ADAM

Business Name

GEHAN M ADAM

Original Issue Date

09/24/2009

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022