GARY ALAN GUENGERICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

GARY ALAN

Last Name

GUENGERICH

Suffix

DDS

Business Name

GARY ALAN GUENGERICH DDS

Original Issue Date

06/23/1987

Effective Date

06/23/1987

Expiration Date

09/30/1992

City

LACON

State

Zip

61540

County

MARSHALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005