GREGORY JOHN GAZDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

Title

DDS

First Name

GREGORY

Middle

JOHN

Last Name

GAZDA

Business Name

GREGORY JOHN GAZDA DDS

Original Issue Date

09/14/2004

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012