EKKEHARD MICHAEL BUCHHEIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000525

License Status

NOT RENEWED

Business

First Name

EKKEHARD MICHAEL

Last Name

BUCHHEIM

Business Name

EKKEHARD MICHAEL BUCHHEIM

Original Issue Date

06/03/1991

Effective Date

06/03/1991

Expiration Date

06/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005