GREGORY LEE GLADE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

GREGORY LEE

Last Name

GLADE

Suffix

DMD

Business Name

GREGORY LEE GLADE DMD

Original Issue Date

01/01/1998

Effective Date

06/15/2015

Expiration Date

09/30/2018

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018