PAUL D QUILLMAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011626

License Status

INACTIVE

Business

First Name

PAUL D

Last Name

QUILLMAN

Business Name

PAUL D QUILLMAN

Original Issue Date

12/30/1959

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

07/24/2006