SAMUEL FIELDS - Dentist License in Illinois | # 019009260

SAMUEL FIELDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009260

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Last Name

FIELDS

Business Name

SAMUEL FIELDS

Original Issue Date

08/04/1947

Effective Date

08/04/1947

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005