ROMUALDAS R POVILAITIS DDS - Dentist License in Illinois | # 019012065

ROMUALDAS R POVILAITIS DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012065

License Status

INACTIVE

Business

N

First Name

ROMUALDAS R

Last Name

POVILAITIS

Suffix

DDS

Business Name

ROMUALDAS R POVILAITIS DDS

Original Issue Date

08/01/1962

Effective Date

08/01/1962

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005