PATRICK COYLE PENDLETON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000960

License Status

NOT RENEWED

Business

First Name

PATRICK COYLE

Last Name

PENDLETON

Suffix

DDS

Business Name

PATRICK COYLE PENDLETON DDS

Original Issue Date

07/27/1996

Effective Date

07/27/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005