MARK A SCHAFFER - Dentist License in Illinois | # 018000888

MARK A SCHAFFER

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000888

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

A

Last Name

SCHAFFER

Business Name

MARK A SCHAFFER

Original Issue Date

08/26/1995

Effective Date

08/26/1995

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005