DERWOOD A JANSSEN - Dentist License in Illinois | # 019011107

DERWOOD A JANSSEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011107

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005