KEVIN D MALTZ DDS - Dentist License in Illinois | # 018000362

KEVIN D MALTZ DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000362

License Status

NOT RENEWED

Business

N

First Name

KEVIN D

Last Name

MALTZ

Suffix

DDS

Business Name

KEVIN D MALTZ DDS

Original Issue Date

06/21/1989

Effective Date

06/21/1989

Expiration Date

06/30/1991

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018