ROBERT J GRANT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

GRANT

Business Name

ROBERT J GRANT

Original Issue Date

08/16/1984

Effective Date

08/16/1984

Expiration Date

09/30/1992

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005