STEPHEN EDWARD GRIMM III DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

STEPHEN EDWARD

Last Name

GRIMM III

Suffix

DDS

Business Name

STEPHEN EDWARD GRIMM III DDS

Original Issue Date

07/01/1981

Effective Date

07/01/1981

Expiration Date

06/01/1982

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005