JACK A DECKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019006558

License Status

NOT RENEWED

Business

First Name

JACK A

Last Name

DECKER

Suffix

DDS

Business Name

JACK A DECKER DDS

Original Issue Date

08/05/1932

Effective Date

08/05/1932

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005