JOHN A SPICKERMAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012178

License Status

INACTIVE

Business

First Name

JOHN A

Last Name

SPICKERMAN

Suffix

DDS

Business Name

JOHN A SPICKERMAN DDS

Original Issue Date

12/04/1962

Effective Date

12/04/1962

Expiration Date

09/30/1996

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005