KEIRA GIZANG GINSBERG DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

INACTIVE

Business

Title

DMD

First Name

KEIRA

Middle

GIZANG

Last Name

GINSBERG

Business Name

KEIRA GIZANG GINSBERG DMD

Original Issue Date

07/02/2021

Effective Date

07/02/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/02/2021