JERRY THELEN HEWITT DDS - Dentist License in Illinois | # 019014579

JERRY THELEN HEWITT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014579

License Status

NOT RENEWED

Business

N

First Name

JERRY THELEN

Last Name

HEWITT

Suffix

DDS

Business Name

JERRY THELEN HEWITT DDS

Original Issue Date

07/11/1973

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010