WILLIAM THEODORE GRADY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

WILLIAM THEODORE

Last Name

GRADY

Business Name

WILLIAM THEODORE GRADY

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005