GAVIN J GREEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

GAVIN J

Last Name

GREEN

Business Name

GAVIN J GREEN

Original Issue Date

10/02/1987

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024