MICHAEL JAMES FOSSELMAN DDS - Dentist License in Illinois | # 021000900

MICHAEL JAMES FOSSELMAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000900

License Status

NOT RENEWED

Business

N

First Name

MICHAEL JAMES

Last Name

FOSSELMAN

Suffix

DDS

Business Name

MICHAEL JAMES FOSSELMAN DDS

Original Issue Date

12/09/1976

Effective Date

09/21/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

11/14/2012