BONCIEL L GRIFFIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001264

License Status

NOT RENEWED

Business

First Name

BONCIEL

Middle

Last Name

GRIFFIN

Suffix

DDS

Business Name

BONCIEL L GRIFFIN DDS

Original Issue Date

05/25/2001

Effective Date

05/25/2001

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005