MITCHELL DAVID GRUZMARK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

Title

DMD

First Name

MITCHELL

Middle

DAVID

Last Name

GRUZMARK

Business Name

MITCHELL DAVID GRUZMARK DMD

Original Issue Date

07/06/2016

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

BUFFALO GROVE

State

Zip

60089

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022