GURSIMRAN REEN MANAISE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

GURSIMRAN

Middle

REEN

Last Name

MANAISE

Suffix

DMD

Business Name

GURSIMRAN REEN MANAISE DMD

Original Issue Date

12/28/2021

Effective Date

09/07/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/07/2024