DALE RICHARD EISENMANN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012691

License Status

INACTIVE

Business

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

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005