JUSTINE S GASIOR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

JUSTINE S

Last Name

GASIOR

Suffix

DDS

Business Name

JUSTINE S GASIOR DDS

Original Issue Date

03/12/1990

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024