GARY ALAN KAUFFMAN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

CANCELLED

Business

First Name

GARY

Middle

ALAN

Last Name

KAUFFMAN

Suffix

DDS

Business Name

GARY ALAN KAUFFMAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006