DONALD CHARLES MATTISON - Dentist License in Illinois | # 019010604

DONALD CHARLES MATTISON

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010604

License Status

INACTIVE

Business

N

First Name

DONALD CHARLES

Last Name

MATTISON

Business Name

DONALD CHARLES MATTISON

Original Issue Date

10/11/1954

Effective Date

10/11/1954

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005