SAMUEL EVANS GITTINGS III DDS 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

SAMUEL EVANS

Last Name

GITTINGS III

Suffix

DDS

Business Name

SAMUEL EVANS GITTINGS III DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005