DONNA J MATTSCHECK - Dentist License in Illinois | # 018000631

DONNA J MATTSCHECK

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000631

License Status

NOT RENEWED

Business

N

First Name

DONNA

Middle

J

Last Name

MATTSCHECK

Business Name

DONNA J MATTSCHECK

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/01/1993

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005