MANITA GROVER UTREJA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032707

License Status

ACTIVE

Business

Title

DMD

First Name

MANITA

Middle

GROVER

Last Name

UTREJA

Business Name

MANITA GROVER UTREJA DMD

Original Issue Date

06/15/2020

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

06/25/2024