GREGG LEE PAINTER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

Title

DDS

First Name

GREGG

Middle

LEE

Last Name

PAINTER

Business Name

GREGG LEE PAINTER DDS

Original Issue Date

01/01/1998

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012