SHAWN GRATHWOHL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

First Name

SHAWN

Last Name

GRATHWOHL

Business Name

SHAWN GRATHWOHL

Original Issue Date

07/27/2023

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

RICHVIEW

State

Zip

62877

County

WASHINGTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024