HEIDI M GROH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008249

License Status

INACTIVE

Business

First Name

HEIDI M

Last Name

GROH

Business Name

HEIDI M GROH

Original Issue Date

07/12/1994

Effective Date

07/12/1994

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005