ERIN K TEAGUE DDS - Dentist License in Illinois | # 018001460

ERIN K TEAGUE DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001460

License Status

EXPIRED

Business

N

First Name

ERIN

Middle

K

Last Name

TEAGUE

Suffix

DDS

Business Name

ERIN K TEAGUE DDS

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005