DAVID G GUILBEAULT DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

GUILBEAULT

Suffix

DMD

Business Name

DAVID G GUILBEAULT DMD

Original Issue Date

10/24/2018

Effective Date

10/24/2018

Expiration Date

12/31/2021

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2021