BRUCE BENJAMIN GRANATH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

BRUCE BENJAMIN

Last Name

GRANATH

Suffix

DDS

Business Name

BRUCE BENJAMIN GRANATH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

ROMEOVILLE

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005