WAYNE VAN SAUN GILLIAM - Dentist License in Illinois | # 019010463

WAYNE VAN SAUN GILLIAM

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010463

License Status

INACTIVE

Business

N

First Name

WAYNE VAN SAUN

Last Name

GILLIAM

Business Name

WAYNE VAN SAUN GILLIAM

Original Issue Date

08/04/1954

Effective Date

08/04/1954

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005