CONRAD MAGNO DDS - Dentist License in Illinois | # 018001448

CONRAD MAGNO DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001448

License Status

EXPIRED

Business

N

First Name

CONRAD

Last Name

MAGNO

Suffix

DDS

Business Name

CONRAD MAGNO DDS

Original Issue Date

01/16/2004

Effective Date

01/16/2004

Expiration Date

12/07/2004

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005