DEREK PHILLIP GRZANICH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

DEREK

Middle

PHILLIP

Last Name

GRZANICH

Suffix

DDS

Business Name

DEREK PHILLIP GRZANICH DDS

Original Issue Date

12/07/2021

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

MISSOURI CITY

State

Zip

77459

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024