HARLEY BISHOP GRANDIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

Title

DDS

First Name

HARLEY

Middle

BISHOP

Last Name

GRANDIN

Business Name

HARLEY BISHOP GRANDIN DDS

Original Issue Date

06/04/2021

Effective Date

06/04/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025