GARY ALAN KAUFFMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

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

06/01/1982

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005