STEPHEN J GRUD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000592

License Status

NOT RENEWED

Business

First Name

STEPHEN J

Last Name

GRUD

Suffix

DDS

Business Name

STEPHEN J GRUD DDS

Original Issue Date

09/13/1991

Effective Date

09/13/1991

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005