RICHARD C WESTERGREN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011405

License Status

INACTIVE

Business

First Name

RICHARD C

Last Name

WESTERGREN

Suffix

DDS

Business Name

RICHARD C WESTERGREN DDS

Original Issue Date

10/16/1958

Effective Date

10/16/1958

Expiration Date

09/30/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005