CHARLES A FIFIELD JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010306

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

FIFIELD JR

Business Name

CHARLES A FIFIELD JR

Original Issue Date

08/05/1953

Effective Date

07/30/2018

Expiration Date

01/31/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/09/2022