JOSHUA T GRUMET - Dentist License in Illinois | # 018001398

JOSHUA T GRUMET

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001398

License Status

EXPIRED

Business

N

First Name

JOSHUA

Middle

T

Last Name

GRUMET

Business Name

JOSHUA T GRUMET

Original Issue Date

06/04/2003

Effective Date

06/04/2003

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005