JASON M GRINTER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000662

License Status

INACTIVE

Business

First Name

JASON

Middle

Last Name

GRINTER

Suffix

DDS

Business Name

JASON M GRINTER DDS

Original Issue Date

09/02/2005

Effective Date

06/24/2015

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

06/07/2018