JORGE C GRISWOLD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

Title

DMD

First Name

JORGE

Middle

Last Name

GRISWOLD

Business Name

JORGE C GRISWOLD DMD

Original Issue Date

07/29/2013

Effective Date

07/29/2013

Expiration Date

09/30/2015

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016