GAIL ANN GROOT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005518

License Status

NOT RENEWED

Business

First Name

GAIL ANN

Last Name

GROOT

Business Name

GAIL ANN GROOT

Original Issue Date

06/13/1984

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/09/2022