GREGORY P RUPP 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

GREGORY P

Last Name

RUPP

Business Name

GREGORY P RUPP

Original Issue Date

07/26/1985

Effective Date

07/26/1985

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005