HARLEY BISHOP GRANDIN DDS - Dentist License in Illinois | # 021003114

HARLEY BISHOP GRANDIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003114

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

HARLEY

Middle

BISHOP

Last Name

GRANDIN

Business Name

HARLEY BISHOP GRANDIN DDS

Original Issue Date

07/19/2021

Effective Date

07/19/2021

Expiration Date

09/30/2024

State

IL

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

N

LastModifiedDate

02/04/2025