LARISSA M GROVE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016432

License Status

ACTIVE

Business

First Name

LARISSA

Middle

Last Name

GROVE

Business Name

LARISSA M GROVE

Original Issue Date

02/08/2019

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

STRASBURG

State

Zip

62465

County

SHELBY

Ever Disciplined

LastModifiedDate

09/30/2024