CHARLES WILLIAM GROESCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

CHARLES WILLIAM

Last Name

GROESCH

Suffix

DDS

Business Name

CHARLES WILLIAM GROESCH DDS

Original Issue Date

01/12/1988

Effective Date

10/13/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025