SCOTT M BOYDEN - Dentist License in Illinois | # 018000848

SCOTT M BOYDEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000848

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

M

Last Name

BOYDEN

Business Name

SCOTT M BOYDEN

Original Issue Date

06/26/1995

Effective Date

06/26/1995

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005