JAN GRUTZIUS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003582

License Status

INACTIVE

Business

First Name

JAN

Last Name

GRUTZIUS

Business Name

JAN GRUTZIUS

Original Issue Date

07/05/1978

Effective Date

07/05/1978

Expiration Date

09/30/2002

City

SEDONA

State

Zip

86336

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005