BERT W GILBERT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

BERT W

Last Name

GILBERT

Suffix

DDS

Business Name

BERT W GILBERT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005