YANA GRINBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

YANA

Last Name

GRINBERG

Suffix

DDS

Business Name

YANA GRINBERG DDS

Original Issue Date

05/10/2007

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018