HARLEY BISHOP GRANDIN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002110

License Status

CANCELLED

Business

Title

DDS

First Name

HARLEY

Middle

BISHOP

Last Name

GRANDIN

Business Name

HARLEY BISHOP GRANDIN DDS

Original Issue Date

06/28/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

06/28/2019