GARY WAYNE GRAU SR , DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012381

License Status

NOT RENEWED

Business

First Name

GARY WAYNE

Last Name

GRAU SR ,

Suffix

DDS

Business Name

GARY WAYNE GRAU SR , DDS

Original Issue Date

11/22/1963

Effective Date

11/22/1963

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005