GRANT STEVEN SEVERS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033404

License Status

ACTIVE

Business

First Name

GRANT

Middle

STEVEN

Last Name

SEVERS

Business Name

GRANT STEVEN SEVERS

Original Issue Date

08/30/2021

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/01/2024