MELVIN JAMES WILLENBORG - Dentist License in Illinois | # 019011726

MELVIN JAMES WILLENBORG

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011726

License Status

NOT RENEWED

Business

N

First Name

MELVIN JAMES

Last Name

WILLENBORG

Business Name

MELVIN JAMES WILLENBORG

Original Issue Date

08/01/1960

Effective Date

08/01/1960

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005