GERALD JAY GRAY DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

INOPERATIVE

Business

First Name

GERALD JAY

Last Name

GRAY

Suffix

DDS

Business Name

GERALD JAY GRAY DDS

Original Issue Date

02/24/1997

Effective Date

02/24/1997

Expiration Date

09/30/1998

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005