GARY M HENLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

HENLEY

Suffix

DDS

Business Name

GARY M HENLEY DDS

Original Issue Date

04/23/2018

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025