RANDAL EUGENE WILLOUGHBY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009918

License Status

INACTIVE

Business

First Name

RANDAL EUGENE

Last Name

WILLOUGHBY

Business Name

RANDAL EUGENE WILLOUGHBY

Original Issue Date

08/15/1951

Effective Date

08/15/1951

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005