MAX DONALD NEWSOME DDS - Dentist License in Illinois | # 019012081

MAX DONALD NEWSOME DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012081

License Status

NOT RENEWED

Business

N

First Name

MAX DONALD

Last Name

NEWSOME

Suffix

DDS

Business Name

MAX DONALD NEWSOME DDS

Original Issue Date

08/02/1962

Effective Date

12/14/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018