DONALD BARRY GRUBMAN 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

Title

DDS

First Name

DONALD

Middle

BARRY

Last Name

GRUBMAN

Business Name

DONALD BARRY GRUBMAN DDS

Original Issue Date

06/22/1992

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009