YANA GRINBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

YANA

Last Name

GRINBERG

Suffix

DDS

Business Name

YANA GRINBERG DDS

Original Issue Date

05/22/2002

Effective Date

05/22/2002

Expiration Date

09/30/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005