Gary Wayne Gustavson Dds
InactiveIllinois license 019015094
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019015094
- Status
- Inactive
- First issued
- March 27, 1975
- Expired
- September 30, 2009
- License holder
- Gary Wayne Gustavson
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 10/01/2006
Other Illinois licenses under this name
-
IL
Gary Wayne Gustavson DdsLicense 31*****94 · Gary Wayne GustavsonLicensed Dentist Controlled Substance (Dental)ExpiredSkokie, ILExpired Sep 30, 2004
Contact
Skokie, IL 60077
Cook County