RICHARD NATHAN GERSHENZON DDS 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

RICHARD NATHAN

Last Name

GERSHENZON

Suffix

DDS

Business Name

RICHARD NATHAN GERSHENZON DDS

Original Issue Date

01/01/1998

Effective Date

09/29/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018