ASTA ELENA GRINIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

ASTA ELENA

Last Name

GRINIS

Business Name

ASTA ELENA GRINIS

Original Issue Date

08/18/1983

Effective Date

08/18/1983

Expiration Date

09/30/1984

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005