ROBERT COLIN POULSOM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014659

License Status

NOT RENEWED

Business

Title

DDS

First Name

ROBERT

Middle

COLIN

Last Name

POULSOM

Business Name

ROBERT COLIN POULSOM DDS

Original Issue Date

07/11/1973

Effective Date

11/03/2021

Expiration Date

09/30/2024

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025