LEE W GRABER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

LEE W

Last Name

GRABER

Suffix

DDS

Business Name

LEE W GRABER DDS

Original Issue Date

12/14/1990

Effective Date

12/14/1990

Expiration Date

09/30/1994

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005