EDWIN BURNELL PROBASCO - Dentist License in Illinois | # 019000700

EDWIN BURNELL PROBASCO

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019000700

License Status

NOT RENEWED

Business

N

First Name

EDWIN BURNELL

Last Name

PROBASCO

Business Name

EDWIN BURNELL PROBASCO

Original Issue Date

06/29/1910

Effective Date

06/29/1910

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005