GARY LEE CUNNINGHAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

GARY LEE

Last Name

CUNNINGHAM

Suffix

DMD

Business Name

GARY LEE CUNNINGHAM DMD

Original Issue Date

01/01/1998

Effective Date

11/25/2021

Expiration Date

09/30/2024

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025