DERWOOD A JANSSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011107

License Status

NOT RENEWED

Business

First Name

DERWOOD A

Last Name

JANSSEN

Business Name

DERWOOD A JANSSEN

Original Issue Date

08/23/1957

Effective Date

08/23/1957

Expiration Date

09/30/1988

City

MT. PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005