MICHAEL B WILLENBORG DDS - Dentist License in Illinois | # 019013705

MICHAEL B WILLENBORG DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013705

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/24/2006