L ERIC PULVER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000552

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005