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

State

Ever Disciplined

LastModifiedDate

09/30/2024

Case Number

2016002752

Action

Suspension

Discipline Start Date

06/10/2016

Discipline End Date

06/20/2016

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/21/2016.