CAMERON L PANGBORN DDS - Dentist License in Illinois | # 018001171

CAMERON L PANGBORN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001171

License Status

NOT RENEWED

Business

N

First Name

CAMERON

Middle

L

Last Name

PANGBORN

Suffix

DDS

Business Name

CAMERON L PANGBORN DDS

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005