RUSSELL HAYWARD GERTSCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

RUSSELL HAYWARD

Last Name

GERTSCH

Suffix

DDS

Business Name

RUSSELL HAYWARD GERTSCH DDS

Original Issue Date

01/01/1998

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

RICHTON PARK

State

Zip

60471

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022