JOHN ALBERT MADDRELL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010952

License Status

INACTIVE

Business

First Name

JOHN ALBERT

Last Name

MADDRELL

Suffix

DDS

Business Name

JOHN ALBERT MADDRELL DDS

Original Issue Date

08/22/1956

Effective Date

08/22/1956

Expiration Date

09/30/1994

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/12/2005