CHARLES A MADISON JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009853

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

MADISON JR

Business Name

CHARLES A MADISON JR

Original Issue Date

08/13/1951

Effective Date

08/13/1951

Expiration Date

04/01/1982

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005