DAVID ANDREW GROFF DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

DAVID ANDREW

Last Name

GROFF

Suffix

DMD

Business Name

DAVID ANDREW GROFF DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005