HEATH ALLEN GROTE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

HEATH

Middle

ALLEN

Last Name

GROTE

Suffix

DMD

Business Name

HEATH ALLEN GROTE DMD

Original Issue Date

06/26/1996

Effective Date

06/26/1996

Expiration Date

09/30/1996

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005