LEKEBA TIER GRANGER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

LEKEBA

Middle

TIER

Last Name

GRANGER

Suffix

DMD

Business Name

LEKEBA TIER GRANGER DMD

Original Issue Date

01/12/2011

Effective Date

07/15/2024

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2024