GARY WAYNE GRAU SR , DDS - Dentist License in Illinois | # 021001088

GARY WAYNE GRAU SR , DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001088

License Status

NOT RENEWED

Business

N

First Name

GARY WAYNE

Last Name

GRAU SR ,

Suffix

DDS

Business Name

GARY WAYNE GRAU SR , DDS

Original Issue Date

06/11/1981

Effective Date

06/11/1981

Expiration Date

09/30/2004

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/17/2005