PAUL ROBERT MUNGO DDS - Dentist License in Illinois | # 019016505

PAUL ROBERT MUNGO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016505

License Status

NOT RENEWED

Business

N

First Name

PAUL ROBERT

Last Name

MUNGO

Suffix

DDS

Business Name

PAUL ROBERT MUNGO DDS

Original Issue Date

08/04/1978

Effective Date

08/04/1978

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005