GAVIN HAYES GREEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

GAVIN

Middle

HAYES

Last Name

GREEN

Business Name

GAVIN HAYES GREEN

Original Issue Date

06/26/2014

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

08/13/2024