YENDIS L GIBSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

YENDIS L

Last Name

GIBSON

Business Name

YENDIS L GIBSON

Original Issue Date

01/01/1998

Effective Date

06/05/2024

Expiration Date

09/30/2027

City

GLENCOE

State

Zip

60022

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2024