GERALD T WARD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

GERALD

Middle

Last Name

WARD

Suffix

DDS

Business Name

GERALD T WARD DDS

Original Issue Date

02/02/2005

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

05/01/2024