PATRICK JAMES CONDIT DDS - Dentist License in Illinois | # 018001800

PATRICK JAMES CONDIT DDS

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001800

License Status

INACTIVE

Business

N

First Name

PATRICK

Middle

JAMES

Last Name

CONDIT

Suffix

DDS

Business Name

PATRICK JAMES CONDIT DDS

Original Issue Date

06/02/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

06/02/2011