PHILIP JOEL GROSS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014570

License Status

NOT RENEWED

Business

First Name

PHILIP JOEL

Last Name

GROSS

Suffix

DDS

Business Name

PHILIP JOEL GROSS DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1984

City

PORTLAND

State

Zip

97205

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005