KEITH L GUZAITIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

GUZAITIS

Suffix

DDS

Business Name

KEITH L GUZAITIS DDS

Original Issue Date

08/24/2004

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024