GILBERT MWACHIA MWANYANGE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DMD

First Name

GILBERT

Middle

MWACHIA

Last Name

MWANYANGE

Business Name

GILBERT MWACHIA MWANYANGE DMD

Original Issue Date

07/09/2020

Effective Date

07/09/2020

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022