JERRY THOMAS WASHBURN DDS - Dentist License in Illinois | # 019011376

JERRY THOMAS WASHBURN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011376

License Status

NOT RENEWED

Business

N

First Name

JERRY THOMAS

Last Name

WASHBURN

Suffix

DDS

Business Name

JERRY THOMAS WASHBURN DDS

Original Issue Date

08/25/1958

Effective Date

08/25/1958

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005