ADAM M OZMENT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000926

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

OZMENT

Suffix

DDS

Business Name

ADAM M OZMENT DDS

Original Issue Date

06/03/1996

Effective Date

06/03/1996

Expiration Date

03/31/2001

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005