GAIGE RYAN VANDEZANDE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

Title

DMD

First Name

GAIGE

Middle

RYAN

Last Name

VANDEZANDE

Business Name

GAIGE RYAN VANDEZANDE DMD

Original Issue Date

06/01/2022

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024