GAY MARGAREET DERDERIAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

GAY MARGAREET

Last Name

DERDERIAN

Business Name

GAY MARGAREET DERDERIAN

Original Issue Date

10/27/1983

Effective Date

10/27/1983

Expiration Date

09/30/1984

City

ALGONQUIN

State

Zip

60102

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005