BERNARD L GRADOVILLE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

BERNARD L

Last Name

GRADOVILLE

Suffix

DDS

Business Name

BERNARD L GRADOVILLE DDS

Original Issue Date

12/02/1987

Effective Date

12/02/1987

Expiration Date

09/30/1988

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005