REBECCA A GROB Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009734

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

GROB

Business Name

REBECCA A GROB

Original Issue Date

05/17/2000

Effective Date

01/14/2013

Expiration Date

09/30/2015

City

SOUTH ROXANA

State

Zip

62087

County

MADISON

Ever Disciplined

LastModifiedDate

04/25/2016