GARY VANDEKERCKHOVE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

GARY

Last Name

VANDEKERCKHOVE

Suffix

DDS

Business Name

GARY VANDEKERCKHOVE DDS

Original Issue Date

01/01/1998

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016