DOUGLAS J WILLIMENT - Dentist License in Illinois | # 018000447

DOUGLAS J WILLIMENT

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000447

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

J

Last Name

WILLIMENT

Business Name

DOUGLAS J WILLIMENT

Original Issue Date

06/23/1990

Effective Date

06/23/1990

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005