GLEN E GANSER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

GLEN E

Last Name

GANSER

Business Name

GLEN E GANSER

Original Issue Date

10/22/1982

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024