GREGORY MICHAEL SHUBAT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

GREGORY MICHAEL

Last Name

SHUBAT

Business Name

GREGORY MICHAEL SHUBAT

Original Issue Date

09/17/1984

Effective Date

10/16/2021

Expiration Date

09/30/2024

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025