FRED WALTER SCHOMBURG DDS - Dentist License in Illinois | # 019013675

FRED WALTER SCHOMBURG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013675

License Status

NOT RENEWED

Business

N

First Name

FRED WALTER

Last Name

SCHOMBURG

Suffix

DDS

Business Name

FRED WALTER SCHOMBURG DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005