ALFRED DONALD URBANCKAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012206

License Status

NOT RENEWED

Business

First Name

ALFRED DONALD

Last Name

URBANCKAS

Suffix

DDS

Business Name

ALFRED DONALD URBANCKAS DDS

Original Issue Date

03/27/1963

Effective Date

03/27/1963

Expiration Date

09/30/2000

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005