GARRETT DAVID OBENAUF DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

Title

DMD

First Name

GARRETT

Middle

DAVID

Last Name

OBENAUF

Business Name

GARRETT DAVID OBENAUF DMD

Original Issue Date

07/10/2020

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2024