DOUGLAS N IVERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009314

License Status

NOT RENEWED

Business

First Name

DOUGLAS N

Last Name

IVERSON

Suffix

DDS

Business Name

DOUGLAS N IVERSON DDS

Original Issue Date

08/07/1947

Effective Date

08/07/1947

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005