STEPHANIE LAUREN GRIDER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

Title

DMD

First Name

STEPHANIE

Middle

LAUREN

Last Name

GRIDER

Business Name

STEPHANIE LAUREN GRIDER DMD

Original Issue Date

07/14/2015

Effective Date

12/29/2021

Expiration Date

09/30/2024

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025