ALBERT FITZ GRUBER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

ALBERT FITZ

Last Name

GRUBER

Business Name

ALBERT FITZ GRUBER

Original Issue Date

04/17/1986

Effective Date

08/25/2015

Expiration Date

09/30/2018

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018