ROBERT W GENTILE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

GENTILE

Business Name

ROBERT W GENTILE

Original Issue Date

11/02/1987

Effective Date

11/02/1987

Expiration Date

09/30/1996

City

CRESTWOOD

State

Zip

60445

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005