JOHN E POTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000464

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

POTH

Business Name

JOHN E POTH

Original Issue Date

06/29/1990

Effective Date

06/29/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005