MAYA A GENDLIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

Title

DDS

First Name

MAYA

Middle

Last Name

GENDLIN

Business Name

MAYA A GENDLIN DDS

Original Issue Date

03/23/2015

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

CYRSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018