RAVEN-DENEICE GRANT CAROUTHERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032541

License Status

NOT RENEWED

Business

First Name

RAVEN-DENEICE

Middle

GRANT

Last Name

CAROUTHERS

Business Name

RAVEN-DENEICE GRANT CAROUTHERS

Original Issue Date

04/30/2020

Effective Date

12/11/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025