License holder summary

ERIC JON GRANQUIST is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for ERIC JON GRANQUIST is PHILADELPHIA PA 19104. This licensed professional license is current. The license was granted 12/23/2010 and expired on 03/31/2015.

Pennsylvania

Department of State

ERIC JON GRANQUIST
Dentistry - Anesthesia Permit - Unrestricted
License number
DA031660
Date granted
12/23/2010
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Active
Address
PHILADELPHIA PA 19104
palicensing.org
ID 16539474
LAST UPDATED 2024-04-08 17:05:42 UTC

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