GREGORY LEE DERRY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

First Name

GREGORY LEE

Last Name

DERRY

Suffix

DDS

Business Name

GREGORY LEE DERRY DDS

Original Issue Date

01/01/1998

Effective Date

09/07/2024

Expiration Date

09/30/2027

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/07/2024