JOHN W PRUITT DDS - Dentist License in Illinois | # 018000318

JOHN W PRUITT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000318

License Status

NOT RENEWED

Business

N

First Name

JOHN W

Last Name

PRUITT

Suffix

DDS

Business Name

JOHN W PRUITT DDS

Original Issue Date

04/18/1989

Effective Date

04/18/1989

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005