GREGORY A PAGE DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

CANCELLED

Business

Title

DDS

First Name

GREGORY

Middle

Last Name

PAGE

Business Name

GREGORY A PAGE DDS

Original Issue Date

08/16/1984

Effective Date

08/16/1984

Expiration Date

09/30/1986

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005