MAXWELL EDMUND VANDERPOOL DDS - Dentist License in Illinois | # 019013932

MAXWELL EDMUND VANDERPOOL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013932

License Status

NOT RENEWED

Business

N

First Name

MAXWELL EDMUND

Last Name

VANDERPOOL

Suffix

DDS

Business Name

MAXWELL EDMUND VANDERPOOL DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005