NORBERT RALPH SKUPIEN - Dentist License in Illinois | # 019008855

NORBERT RALPH SKUPIEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008855

License Status

NOT RENEWED

Business

N

First Name

NORBERT RALPH

Last Name

SKUPIEN

Business Name

NORBERT RALPH SKUPIEN

Original Issue Date

09/10/1945

Effective Date

09/10/1945

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005