ERNST A CORNIELSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014281

License Status

NOT RENEWED

Business

First Name

ERNST A

Last Name

CORNIELSEN

Suffix

DDS

Business Name

ERNST A CORNIELSEN DDS

Original Issue Date

07/12/1972

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/08/2006