MARY FLEAGLE ACKERMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018161

License Status

NOT RENEWED

Business

First Name

MARY FLEAGLE

Last Name

ACKERMAN

Business Name

MARY FLEAGLE ACKERMAN

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/2002

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005