OLIVER GILBERT GRIMM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

Title

DDS

First Name

OLIVER

Middle

GILBERT

Last Name

GRIMM

Business Name

OLIVER GILBERT GRIMM DDS

Original Issue Date

01/01/1998

Effective Date

08/10/2015

Expiration Date

09/30/2018

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018