GIANNA ELYSE GEORGION DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

GIANNA

Middle

ELYSE

Last Name

GEORGION

Suffix

DDS

Business Name

GIANNA ELYSE GEORGION DDS

Original Issue Date

08/09/2005

Effective Date

08/09/2005

Expiration Date

09/30/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006