GARY L LLEWELLYN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

Title

DDS

First Name

GARY

Middle

Last Name

LLEWELLYN

Business Name

GARY L LLEWELLYN DDS

Original Issue Date

04/07/2020

Effective Date

04/07/2020

Expiration Date

01/31/2022

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022