GREGORY M KANE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

GREGORY M

Last Name

KANE

Suffix

DDS

Business Name

GREGORY M KANE DDS

Original Issue Date

08/09/1988

Effective Date

08/09/1988

Expiration Date

09/30/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005