JOHN VANDEGRAAFF DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****51

NOT RENEWED

N

JOHN

VANDEGRAAFF

DDS

JOHN VANDEGRAAFF DDS

01/01/1998

09/30/1996

SKOKIE

IL

60077

COOK

II III IV V

Y

10/13/2005

1988002471

Probation

12/02/1988

12/02/1989