JOHN S LILLEBERG DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013396

License Status

INACTIVE

Business

First Name

JOHN S

Last Name

LILLEBERG

Suffix

DDS

Business Name

JOHN S LILLEBERG DDS

Original Issue Date

07/16/1968

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

HONOLULU

State

Zip

96825

County

HAWAII

Ever Disciplined

LastModifiedDate

07/24/2006