GREGORY DONALD LANE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

Title

DMD

First Name

GREGORY

Middle

DONALD

Last Name

LANE

Business Name

GREGORY DONALD LANE DMD

Original Issue Date

08/01/2013

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024