JOSEPH MATTHEW FULLMER - Dentist License in Illinois | # 018001692

JOSEPH MATTHEW FULLMER

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001692

License Status

EXPIRED

Business

N

First Name

JOSEPH

Middle

MATTHEW

Last Name

FULLMER

Business Name

JOSEPH MATTHEW FULLMER

Original Issue Date

06/24/2008

Effective Date

07/01/2008

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

03/12/2025