TIMOTHY RICHARD GRESLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001034

License Status

NOT RENEWED

Business

First Name

TIMOTHY RICHARD

Last Name

GRESLA

Suffix

DDS

Business Name

TIMOTHY RICHARD GRESLA DDS

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005