ROBERT LEON EWBANK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011166

License Status

INACTIVE

Business

First Name

ROBERT LEON

Last Name

EWBANK

Suffix

DDS

Business Name

ROBERT LEON EWBANK DDS

Original Issue Date

09/04/1957

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

06/04/2009