TERESA GRYGO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

TERESA

Last Name

GRYGO

Business Name

TERESA GRYGO

Original Issue Date

12/10/1986

Effective Date

12/10/1986

Expiration Date

09/30/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005