TODD A DINGMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000720

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

DINGMAN

Business Name

TODD A DINGMAN

Original Issue Date

07/20/1993

Effective Date

07/20/1993

Expiration Date

06/30/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005