DAVID BRETT GERSHENZON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

Title

DMD

First Name

DAVID

Middle

BRETT

Last Name

GERSHENZON

Business Name

DAVID BRETT GERSHENZON DMD

Original Issue Date

07/08/2013

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

05/02/2024