KENNETH GROVER GROSKOPF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

KENNETH GROVER

Last Name

GROSKOPF

Suffix

DDS

Business Name

KENNETH GROVER GROSKOPF DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/17/2005