GARRETT DAVID GAST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

GARRETT

Middle

DAVID

Last Name

GAST

Suffix

DDS

Business Name

GARRETT DAVID GAST DDS

Original Issue Date

10/18/2011

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018