EZIO EDWARD GROSSI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009114

License Status

NOT RENEWED

Business

First Name

EZIO EDWARD

Last Name

GROSSI

Business Name

EZIO EDWARD GROSSI

Original Issue Date

08/23/1946

Effective Date

08/19/2009

Expiration Date

09/30/2012

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012