PAUL K POVLSEN JR DDS - Dentist License in Illinois | # 019010342

PAUL K POVLSEN JR DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010342

License Status

INACTIVE

Business

N

First Name

PAUL K

Last Name

POVLSEN JR

Suffix

DDS

Business Name

PAUL K POVLSEN JR DDS

Original Issue Date

08/06/1953

Effective Date

08/06/1953

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005