JEFFREY L WINGO - Dentist License in Illinois | # 018000521

JEFFREY L WINGO

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000521

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

L

Last Name

WINGO

Business Name

JEFFREY L WINGO

Original Issue Date

05/01/1991

Effective Date

05/01/1991

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005