LEROY STEVEN GURGA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

LEROY STEVEN

Last Name

GURGA

Suffix

DDS

Business Name

LEROY STEVEN GURGA DDS

Original Issue Date

09/22/1997

Effective Date

09/22/1997

Expiration Date

09/30/1998

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005