RONALD CLIFFORD GRESENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

RONALD CLIFFORD

Last Name

GRESENS

Business Name

RONALD CLIFFORD GRESENS

Original Issue Date

01/01/1998

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/14/2012