GRACE A DWYER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

GRACE A

Last Name

DWYER

Business Name

GRACE A DWYER

Original Issue Date

02/25/1988

Effective Date

02/25/1988

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005