HEATH ALLEN GROTE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

HEATH

Middle

ALLEN

Last Name

GROTE

Suffix

DMD

Business Name

HEATH ALLEN GROTE DMD

Original Issue Date

08/09/1999

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2024