GREGG L ROSE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001507

License Status

ACTIVE

Business

First Name

GREGG L

Last Name

ROSE

Business Name

GREGG L ROSE

Original Issue Date

10/02/1990

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

05/01/2024