GLENN R GROSELAK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

GLENN

Middle

Last Name

GROSELAK

Suffix

DDS

Business Name

GLENN R GROSELAK DDS

Original Issue Date

12/17/2021

Effective Date

05/17/2024

Expiration Date

09/30/2027

City

LEMONT

State

Zip

60439

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2024