TRACEY L GASTON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

First Name

TRACEY

Middle

Last Name

GASTON

Suffix

DDS

Business Name

TRACEY L GASTON DDS

Original Issue Date

09/29/1994

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2024