RICHARD G GRUBEK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

First Name

RICHARD G

Last Name

GRUBEK

Business Name

RICHARD G GRUBEK

Original Issue Date

09/17/1984

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024