MARION MICHAEL IVANS JR - Dentist License in Illinois | # 021000662

MARION MICHAEL IVANS JR

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000662

License Status

INACTIVE

Business

N

First Name

MARION MICHAEL

Last Name

IVANS JR

Business Name

MARION MICHAEL IVANS JR

Original Issue Date

12/07/1970

Effective Date

12/07/1970

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

07/24/2006