DAVID T COPUS DDS - Dentist License in Illinois | # 018000952

DAVID T COPUS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000952

License Status

NOT RENEWED

Business

N

First Name

DAVID T

Last Name

COPUS

Suffix

DDS

Business Name

DAVID T COPUS DDS

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005