REID R SWENSON - Dentist License in Illinois | # 018001066

REID R SWENSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001066

License Status

NOT RENEWED

Business

N

First Name

REID

Middle

R

Last Name

SWENSON

Business Name

REID R SWENSON

Original Issue Date

08/07/1997

Effective Date

08/07/1997

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005