LUIS GREGORIO GRANADOS PAUCAR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

LUIS

Middle

GREGORIO

Last Name

GRANADOS PAUCAR

Business Name

LUIS GREGORIO GRANADOS PAUCAR

Original Issue Date

08/21/2019

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024