BERNARD JOHN GROTHAUS DDS - Dentist License in Illinois | # 019011569

BERNARD JOHN GROTHAUS DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011569

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/24/2006