DAVID ANDREW GROFF DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016808

License Status

NOT RENEWED

Business

First Name

DAVID ANDREW

Last Name

GROFF

Suffix

DMD

Business Name

DAVID ANDREW GROFF DMD

Original Issue Date

07/11/1979

Effective Date

07/11/1979

Expiration Date

09/30/1988

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005