STEPHANIE LAUREN GRIDER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030285

License Status

NOT RENEWED

Business

Title

DMD

First Name

STEPHANIE

Middle

LAUREN

Last Name

GRIDER

Business Name

STEPHANIE LAUREN GRIDER DMD

Original Issue Date

07/14/2015

Effective Date

12/29/2021

Expiration Date

09/30/2024

City

PORTAGE

State

Zip

46368

Ever Disciplined

LastModifiedDate

02/04/2025