CONRAD MAGNO DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001448

License Status

EXPIRED

Business

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

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005