CHIANN FAN GIBSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

CHIANN

Middle

FAN

Last Name

GIBSON

Suffix

DMD

Business Name

CHIANN FAN GIBSON DMD

Original Issue Date

10/07/1999

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

SUGAR GROVE

State

Zip

60554

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024