GILBERT TROY GUAJARDO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

Title

DMD

First Name

GILBERT

Middle

TROY

Last Name

GUAJARDO

Business Name

GILBERT TROY GUAJARDO DMD

Original Issue Date

11/17/2024

Effective Date

11/17/2024

Expiration Date

09/30/2027

City

WESTERN SPRINGS

State

Zip

60558

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025