GARY LEE SENGBUSCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

GARY LEE

Last Name

SENGBUSCH

Business Name

GARY LEE SENGBUSCH

Original Issue Date

08/06/1982

Effective Date

08/06/1982

Expiration Date

09/30/1984

City

WAUCONDA

State

Zip

60084

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005