MARK KNIBBE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000103

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

KNIBBE

Business Name

MARK KNIBBE

Original Issue Date

10/04/1983

Effective Date

10/04/1983

Expiration Date

01/01/1998

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005