MARK W LINGEN DDS - Dentist License in Illinois | # 018000467

MARK W LINGEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000467

License Status

NOT RENEWED

Business

N

First Name

MARK W

Last Name

LINGEN

Suffix

DDS

Business Name

MARK W LINGEN DDS

Original Issue Date

07/02/1990

Effective Date

07/02/1990

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Oral Pathology

Ever Disciplined

N

LastModifiedDate

10/12/2005