WILLIAM HENRY GROTZ IV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

Title

DDS

First Name

WILLIAM

Middle

HENRY

Last Name

GROTZ

Suffix

Business Name

WILLIAM HENRY GROTZ IV DDS

Original Issue Date

01/01/1998

Effective Date

03/22/2007

Expiration Date

09/30/2009

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009