KENNETH E GROVE DR Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

CANCELLED

Business

First Name

KENNETH E

Last Name

GROVE DR

Business Name

KENNETH E GROVE DR

Original Issue Date

12/01/1989

Effective Date

12/01/1989

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005