TIMOTHY RICHARD GRESLA DDS 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

TIMOTHY RICHARD

Last Name

GRESLA

Suffix

DDS

Business Name

TIMOTHY RICHARD GRESLA DDS

Original Issue Date

11/12/1997

Effective Date

11/12/1997

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005