YANA GRINBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

YANA

Last Name

GRINBERG

Suffix

DDS

Business Name

YANA GRINBERG DDS

Original Issue Date

09/25/1996

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/04/2009