THOMAS K POULAKIDAS DDS - Dentist License in Illinois | # 021000805

THOMAS K POULAKIDAS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000805

License Status

NOT RENEWED

Business

N

First Name

THOMAS K

Last Name

POULAKIDAS

Suffix

DDS

Business Name

THOMAS K POULAKIDAS DDS

Original Issue Date

01/14/1975

Effective Date

01/14/1975

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

11/08/2006