SHEPHERD GROSS JR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023712

License Status

ACTIVE

Business

First Name

SHEPHERD

Last Name

GROSS

Suffix

JR DDS

Business Name

SHEPHERD GROSS JR DDS

Original Issue Date

10/13/1994

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

09/30/2024

Case Number

2021004529

Action

Suspension

Discipline Start Date

09/17/2021

Discipline End Date

03/16/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/17/2022.