JOHN ANTHONY GREGOLINE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

JOHN ANTHONY

Last Name

GREGOLINE

Business Name

JOHN ANTHONY GREGOLINE

Original Issue Date

05/21/2002

Effective Date

05/21/2002

Expiration Date

09/30/2006

City

LANSING

State

Zip

60438

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006