JASON M GRINTER DDS - Dentist License in Illinois | # 018001469

JASON M GRINTER DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001469

License Status

EXPIRED

Business

N

First Name

JASON

Middle

M

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005