MARY A GEBHARDT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

GEBHARDT

Suffix

DDS

Business Name

MARY A GEBHARDT DDS

Original Issue Date

06/22/1992

Effective Date

06/22/1992

Expiration Date

09/30/2002

City

JOLIET

State

Zip

60431

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005