MELVIN JAMES WILLENBORG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011726

License Status

NOT RENEWED

Business

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

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/12/2005