ALICIA MARIE GRIMM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALICIA

Middle

MARIE

Last Name

GRIMM

Business Name

ALICIA MARIE GRIMM DMD

Original Issue Date

07/14/2014

Effective Date

07/14/2014

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016