JOHN E TILLNER DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001466

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

TILLNER

Suffix

DDS

Business Name

JOHN E TILLNER DDS

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/30/2009

City

CHULA VISTA

State

Zip

91911

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/15/2009