MARSHALL B GRUNWALD DDS - Dentist License in Illinois | # 019012364

MARSHALL B GRUNWALD DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012364

License Status

NOT RENEWED

Business

N

First Name

MARSHALL B

Last Name

GRUNWALD

Suffix

DDS

Business Name

MARSHALL B GRUNWALD DDS

Original Issue Date

09/09/1963

Effective Date

09/09/1963

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005