JOSHUA T GRUMET Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001398

License Status

EXPIRED

Business

First Name

JOSHUA

Middle

Last Name

GRUMET

Business Name

JOSHUA T GRUMET

Original Issue Date

06/04/2003

Effective Date

06/04/2003

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005