DONNA KAY GRANT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001848

License Status

NOT RENEWED

Business

First Name

DONNA KAY

Last Name

GRANT

Business Name

DONNA KAY GRANT

Original Issue Date

07/12/1972

Effective Date

07/12/1972

Expiration Date

09/30/1994

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/12/2005