EUGENE ROBERT GRANDEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

EUGENE ROBERT

Last Name

GRANDEL

Business Name

EUGENE ROBERT GRANDEL

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006