CHARLES WILLIAM GROESCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000991

License Status

NOT RENEWED

Business

First Name

CHARLES WILLIAM

Last Name

GROESCH

Suffix

DDS

Business Name

CHARLES WILLIAM GROESCH DDS

Original Issue Date

02/05/1979

Effective Date

10/13/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

02/04/2025