CHIANN FAN GIBSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

CHIANN

Middle

FAN

Last Name

GIBSON

Suffix

DMD

Business Name

CHIANN FAN GIBSON DMD

Original Issue Date

08/19/2004

Effective Date

09/27/2021

Expiration Date

09/30/2024

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025