GREGORY LEE PENN DDS - Dentist License in Michigan | # 019015976

GREGORY LEE PENN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015976

License Status

NOT RENEWED

Business

N

First Name

GREGORY LEE

Last Name

PENN

Suffix

DDS

Business Name

GREGORY LEE PENN DDS

Original Issue Date

06/27/1977

Effective Date

06/27/1977

State

MI

Ever Disciplined

N

LastModifiedDate

10/12/2005