GERALD P GARDNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

GERALD P

Last Name

GARDNER

Business Name

GERALD P GARDNER

Original Issue Date

04/26/1988

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024