DEREK PHILLIP GRZANICH DDS - Dentist License in Texas | # 019026724

DEREK PHILLIP GRZANICH DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026724

License Status

ACTIVE

Business

N

First Name

DEREK

Middle

PHILLIP

Last Name

GRZANICH

Suffix

DDS

Business Name

DEREK PHILLIP GRZANICH DDS

Original Issue Date

05/16/2005

Effective Date

09/11/2024

Expiration Date

09/30/2027

State

TX

Ever Disciplined

N

LastModifiedDate

09/11/2024