FRANK CROFT GREIDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

FRANK CROFT

Last Name

GREIDER

Business Name

FRANK CROFT GREIDER

Original Issue Date

03/18/1985

Effective Date

03/18/1985

Expiration Date

09/30/1988

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005