JAMES R INGRAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012932

License Status

NOT RENEWED

Business

First Name

JAMES R

Last Name

INGRAM

Suffix

DDS

Business Name

JAMES R INGRAM DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1984

City

BRIGHTON

State

Zip

62012

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/12/2005