LION TOM GRENADER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

Title

DMD

First Name

LION

Middle

TOM

Last Name

GRENADER

Business Name

LION TOM GRENADER DMD

Original Issue Date

07/25/2017

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024