L ERIC PULVER DDS - Dentist License in Illinois | # 018000552

L ERIC PULVER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000552

License Status

NOT RENEWED

Business

N

First Name

L ERIC

Last Name

PULVER

Suffix

DDS

Business Name

L ERIC PULVER DDS

Original Issue Date

06/19/1991

Effective Date

06/19/1991

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005