DALE RICHARD EISENMANN DDS - Dentist License in Illinois | # 019012691

DALE RICHARD EISENMANN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012691

License Status

INACTIVE

Business

N

First Name

DALE RICHARD

Last Name

EISENMANN

Suffix

DDS

Business Name

DALE RICHARD EISENMANN DDS

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005