SCOTT ADAM WEISKOPF - Dentist License in Illinois | # 018001729

SCOTT ADAM WEISKOPF

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001729

License Status

EXPIRED

Business

N

First Name

SCOTT

Middle

ADAM

Last Name

WEISKOPF

Business Name

SCOTT ADAM WEISKOPF

Original Issue Date

06/05/2009

Effective Date

07/01/2009

Expiration Date

06/30/2013

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/07/2013