SUSAN P ANDERSON-GRANZEIER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

Title

DDS

First Name

SUSAN P

Last Name

ANDERSON-GRANZEIER

Business Name

SUSAN P ANDERSON-GRANZEIER DDS

Original Issue Date

03/19/1997

Effective Date

03/19/1997

Expiration Date

09/30/1998

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005