WAYNE W OSTDICK DDS - Dentist License in Illinois | # 018000629

WAYNE W OSTDICK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000629

License Status

NOT RENEWED

Business

N

First Name

WAYNE W

Last Name

OSTDICK

Suffix

DDS

Business Name

WAYNE W OSTDICK DDS

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005