DONALD BARRY GRUBMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

Title

DDS

First Name

DONALD

Middle

BARRY

Last Name

GRUBMAN

Business Name

DONALD BARRY GRUBMAN DDS

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005