JASON M GRINTER DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001469

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

GRINTER

Suffix

DDS

Business Name

JASON M GRINTER DDS

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005