DAVID G GUILBEAULT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

GUILBEAULT

Suffix

DMD

Business Name

DAVID G GUILBEAULT DMD

Original Issue Date

10/24/2018

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024