BERNARD JOHN GROTHAUS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

BERNARD JOHN

Last Name

GROTHAUS

Suffix

DDS

Business Name

BERNARD JOHN GROTHAUS DDS

Original Issue Date

06/16/1976

Effective Date

06/16/1976

Expiration Date

09/30/2004

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005