ROMUALDAS R POVILAITIS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012065

License Status

INACTIVE

Business

First Name

ROMUALDAS R

Last Name

POVILAITIS

Suffix

DDS

Business Name

ROMUALDAS R POVILAITIS DDS

Original Issue Date

08/01/1962

Effective Date

08/01/1962

Expiration Date

09/30/1996

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005