GREGORY LEE PENN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015976

License Status

NOT RENEWED

Business

First Name

GREGORY LEE

Last Name

PENN

Suffix

DDS

Business Name

GREGORY LEE PENN DDS

Original Issue Date

06/27/1977

Effective Date

06/27/1977

City

GROSSE POINT

State

Zip

48230

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005