L LEO GAST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008071

License Status

NOT RENEWED

Business

First Name

L LEO

Last Name

GAST

Suffix

DDS

Business Name

L LEO GAST DDS

Original Issue Date

08/10/1940

Effective Date

08/10/1940

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005