BRIDGET MARIE POWERS DDS - Dentist License in Illinois | # 018000919

BRIDGET MARIE POWERS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000919

License Status

NOT RENEWED

Business

N

First Name

BRIDGET MARIE

Last Name

POWERS

Suffix

DDS

Business Name

BRIDGET MARIE POWERS DDS

Original Issue Date

01/06/1996

Effective Date

01/06/1996

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005