BERNARD JOHN GROTHAUS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011569

License Status

INACTIVE

Business

First Name

BERNARD JOHN

Last Name

GROTHAUS

Suffix

DDS

Business Name

BERNARD JOHN GROTHAUS DDS

Original Issue Date

08/17/1959

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006