AFI T WILKENS DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001570

License Status

EXPIRED

Business

First Name

AFI

Middle

Last Name

WILKENS

Suffix

DMD

Business Name

AFI T WILKENS DMD

Original Issue Date

10/05/2005

Effective Date

10/05/2005

Expiration Date

07/11/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/27/2006