THEODORE L QUILITZ DDS - Dentist License in Illinois | # 019013905

THEODORE L QUILITZ DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013905

License Status

NOT RENEWED

Business

N

First Name

THEODORE L

Last Name

QUILITZ

Suffix

DDS

Business Name

THEODORE L QUILITZ DDS

Original Issue Date

07/07/1970

Effective Date

06/11/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012