Roger Ernest Grua Dds
InactiveIllinois license 019014572
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019014572
- Status
- Inactive
- First issued
- July 11, 1973
- Expired
- September 30, 2009
- License holder
- Roger Ernest Grua Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 09/10/2007
Contact
Ogden, UT 84403