THADDEUS ANDREW GASIOR 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

THADDEUS ANDREW

Last Name

GASIOR

Suffix

DDS

Business Name

THADDEUS ANDREW GASIOR DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

ALSIP

State

Zip

60658

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005