SCOTT KAULANA GRANGER DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002101

License Status

EXPIRED

Business

Title

DDS

First Name

SCOTT

Middle

KAULANA

Last Name

GRANGER

Business Name

SCOTT KAULANA GRANGER DDS

Original Issue Date

06/06/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

11/19/2020