VAN NGUYEN SPROUL DDS - Dentist License in Illinois | # 018001113

VAN NGUYEN SPROUL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001113

License Status

NOT RENEWED

Business

N

First Name

VAN

Middle

NGUYEN

Last Name

SPROUL

Suffix

DDS

Business Name

VAN NGUYEN SPROUL DDS

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005