WILLIAM HENRY GROTZ IV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

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

08/10/1987

Effective Date

08/10/1987

Expiration Date

09/30/2006

City

ROMEOVILLE

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006