THERESA L MCCONNELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000736

License Status

NOT RENEWED

Business

First Name

THERESA L

Last Name

MCCONNELL

Suffix

DDS

Business Name

THERESA L MCCONNELL DDS

Original Issue Date

09/03/1993

Effective Date

09/03/1993

Expiration Date

06/30/1995

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005