GARY ALAN GUENGERICH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

GARY ALAN

Last Name

GUENGERICH

Suffix

DDS

Business Name

GARY ALAN GUENGERICH DDS

Original Issue Date

01/01/1998

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024