JON RICHARD CONKLIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015481

License Status

NOT RENEWED

Business

First Name

JON RICHARD

Last Name

CONKLIN

Suffix

DDS

Business Name

JON RICHARD CONKLIN DDS

Original Issue Date

07/13/1976

Effective Date

08/25/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2012