CHARLES H EKSTROM DDS - Dentist License in Illinois | # 019014038

CHARLES H EKSTROM DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014038

License Status

INACTIVE

Business

N

First Name

CHARLES H

Last Name

EKSTROM

Suffix

DDS

Business Name

CHARLES H EKSTROM DDS

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005