LYNNA GRIPENTROG DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001832

License Status

CANCELLED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

03/13/2015