MIRIAM GRUSHKA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000089

License Status

EXPIRED

Business

First Name

MIRIAM

Last Name

GRUSHKA

Suffix

DDS

Business Name

MIRIAM GRUSHKA DDS

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

12/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005