KATHRYN ANNE GRUNENWALD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

Title

DMD

First Name

KATHRYN

Middle

ANNE

Last Name

GRUNENWALD

Business Name

KATHRYN ANNE GRUNENWALD DMD

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

09/30/2027

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2024