EZIO EDWARD GROSSI - Dentist License in Illinois | # 019009114

EZIO EDWARD GROSSI

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009114

License Status

NOT RENEWED

Business

N

First Name

EZIO EDWARD

Last Name

GROSSI

Business Name

EZIO EDWARD GROSSI

Original Issue Date

08/23/1946

Effective Date

08/19/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012