PAUL B GREENAWALT DDS - Dentist License in Illinois | # 018000551

PAUL B GREENAWALT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000551

License Status

NOT RENEWED

Business

N

First Name

PAUL B

Last Name

GREENAWALT

Suffix

DDS

Business Name

PAUL B GREENAWALT DDS

Original Issue Date

06/18/1991

Effective Date

06/18/1991

Expiration Date

09/01/1995

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005