GREGORY KEN LOUIE Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

CANCELLED

Business

First Name

GREGORY

Middle

KEN

Last Name

LOUIE

Business Name

GREGORY KEN LOUIE

Original Issue Date

04/11/2002

Effective Date

04/11/2002

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005