KRISTINE D GRUMBACH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001239

License Status

INACTIVE

Business

First Name

KRISTINE D

Last Name

GRUMBACH

Business Name

KRISTINE D GRUMBACH

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/1990

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005