HEATH ALLEN GROTE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024132

License Status

ACTIVE

Business

First Name

HEATH

Middle

ALLEN

Last Name

GROTE

Suffix

DMD

Business Name

HEATH ALLEN GROTE DMD

Original Issue Date

04/04/1996

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/16/2024