SAMANTHA KAY GROSS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033723

License Status

ACTIVE

Business

Title

DMD

First Name

SAMANTHA

Middle

KAY

Last Name

GROSS

Business Name

SAMANTHA KAY GROSS DMD

Original Issue Date

06/08/2022

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

DU QUOIN

State

Zip

62832

Ever Disciplined

LastModifiedDate

07/03/2024