GINA LEIGH GROSSE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

First Name

GINA

Middle

LEIGH

Last Name

GROSSE

Suffix

DMD

Business Name

GINA LEIGH GROSSE DMD

Original Issue Date

11/13/2008

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024