FRED WALTER SCHOMBURG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013675

License Status

NOT RENEWED

Business

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

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005