CHARLES J GREENEBAUM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

CHARLES J

Last Name

GREENEBAUM

Business Name

CHARLES J GREENEBAUM

Original Issue Date

08/02/1982

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024