GREGORY A STUMP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

GREGORY A

Last Name

STUMP

Suffix

DDS

Business Name

GREGORY A STUMP DDS

Original Issue Date

01/01/1998

Effective Date

09/02/2009

Expiration Date

09/30/2012

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012