ERIC GRANT FOX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001235

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

GRANT

Last Name

FOX

Suffix

DDS

Business Name

ERIC GRANT FOX DDS

Original Issue Date

06/30/2000

Effective Date

06/30/2000

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005