PAUL B GREENAWALT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000551

License Status

NOT RENEWED

Business

First Name

PAUL B

Last Name

GREENAWALT

Suffix

DDS

Business Name

PAUL B GREENAWALT DDS

Original Issue Date

06/18/1991

Effective Date

06/18/1991

Expiration Date

09/01/1995

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005