BRUCE EDWIN WESTOVER DDS - Dentist License in Illinois | # 019015016

BRUCE EDWIN WESTOVER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015016

License Status

NOT RENEWED

Business

N

First Name

BRUCE EDWIN

Last Name

WESTOVER

Suffix

DDS

Business Name

BRUCE EDWIN WESTOVER DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005