ROBERT EARL GANTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

EARL

Last Name

GANTZ

Suffix

DDS

Business Name

ROBERT EARL GANTZ DDS

Original Issue Date

12/08/1998

Effective Date

12/08/1998

Expiration Date

09/30/2002

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005