ALBERT LAWRENCE PUMILIA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013275

License Status

INACTIVE

Business

First Name

ALBERT LAWRENCE

Last Name

PUMILIA

Suffix

DDS

Business Name

ALBERT LAWRENCE PUMILIA DDS

Original Issue Date

12/07/1967

Effective Date

08/04/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/06/2012