GRANT ANDERSON PIZZO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

GRANT

Middle

ANDERSON

Last Name

PIZZO

Business Name

GRANT ANDERSON PIZZO

Original Issue Date

10/19/2021

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60124

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024