GILBERT TROY GUAJARDO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

Title

DMD

First Name

GILBERT

Middle

TROY

Last Name

GUAJARDO

Business Name

GILBERT TROY GUAJARDO DMD

Original Issue Date

04/14/2021

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024