GARY L DEGENER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

GARY L

Last Name

DEGENER

Suffix

DDS

Business Name

GARY L DEGENER DDS

Original Issue Date

04/19/1993

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012