SHEPHERD GROSS JR DDS 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

SHEPHERD

Last Name

GROSS

Suffix

JR DDS

Business Name

SHEPHERD GROSS JR DDS

Original Issue Date

10/31/1994

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022