MATTHEW S PRESCOTT DDS - Dentist License in Illinois | # 018000540

MATTHEW S PRESCOTT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000540

License Status

NOT RENEWED

Business

N

First Name

MATTHEW S

Last Name

PRESCOTT

Suffix

DDS

Business Name

MATTHEW S PRESCOTT DDS

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005