REGINA GRAY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

REGINA

Last Name

GRAY

Business Name

REGINA GRAY

Original Issue Date

04/18/1983

Effective Date

04/18/1983

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005