MORTON RICHARD KORNBLUM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009315

License Status

NOT RENEWED

Business

First Name

MORTON RICHARD

Last Name

KORNBLUM

Suffix

DDS

Business Name

MORTON RICHARD KORNBLUM DDS

Original Issue Date

02/07/1947

Effective Date

02/07/1947

Expiration Date

09/30/1988

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005