CHARLES T MELLYN DDS - Dentist License in Illinois | # 019015890

CHARLES T MELLYN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015890

License Status

NOT RENEWED

Business

N

First Name

CHARLES T

Last Name

MELLYN

Suffix

DDS

Business Name

CHARLES T MELLYN DDS

Original Issue Date

06/09/1977

Effective Date

06/09/1977

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005