MICHAEL B WILLENBORG DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013705

License Status

INACTIVE

Business

First Name

MICHAEL B

Last Name

WILLENBORG

Suffix

DDS

Business Name

MICHAEL B WILLENBORG DDS

Original Issue Date

07/14/1969

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

07/24/2006