MICHAEL NICHOLAS POULOS DMD - Dentist License in Illinois | # 019016570

MICHAEL NICHOLAS POULOS DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016570

License Status

NOT RENEWED

Business

N

First Name

MICHAEL NICHOLAS

Last Name

POULOS

Suffix

DMD

Business Name

MICHAEL NICHOLAS POULOS DMD

Original Issue Date

09/29/1978

Effective Date

09/29/1978

Expiration Date

04/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005