JANIENE F GRESLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

JANIENE F

Last Name

GRESLA

Suffix

DDS

Business Name

JANIENE F GRESLA DDS

Original Issue Date

05/17/1996

Effective Date

05/17/1996

Expiration Date

09/30/2000

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005