PAUL K POVLSEN JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010342

License Status

INACTIVE

Business

First Name

PAUL K

Last Name

POVLSEN JR

Suffix

DDS

Business Name

PAUL K POVLSEN JR DDS

Original Issue Date

08/06/1953

Effective Date

08/06/1953

Expiration Date

09/30/1994

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/12/2005