MICHAEL H GROUSD DDS - Dentist License in Illinois | # 137000161

MICHAEL H GROUSD DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000161

License Status

NOT RENEWED

Business

N

First Name

MICHAEL H

Last Name

GROUSD

Suffix

DDS

Business Name

MICHAEL H GROUSD DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

11/14/2012