DREW T GRIPENTROG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001010

License Status

ACTIVE

Business

Title

DMD

First Name

DREW

Middle

Last Name

GRIPENTROG

Business Name

DREW T GRIPENTROG DMD

Original Issue Date

09/28/2018

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/02/2024