DECLAN P FURLONG - Dentist License in Illinois | # 018001396

DECLAN P FURLONG

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001396

License Status

EXPIRED

Business

N

First Name

DECLAN

Middle

P

Last Name

FURLONG

Business Name

DECLAN P FURLONG

Original Issue Date

05/23/2003

Effective Date

05/23/2003

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005