LYNNA GRIPENTROG DMD - Dentist License in Illinois | # 018001832

LYNNA GRIPENTROG DMD

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001832

License Status

CANCELLED

Business

N

First Name

LYNNA

Last Name

GRIPENTROG

Suffix

DMD

Business Name

LYNNA GRIPENTROG DMD

Original Issue Date

06/05/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

03/13/2015