LORETA V STONCIUS-GRYBAUSKAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

LORETA V

Last Name

STONCIUS-GRYBAUSKAS

Business Name

LORETA V STONCIUS-GRYBAUSKAS

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

09/30/2002

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005