FRED LEE WHITLATCH - Dentist License in Illinois | # 019018174

FRED LEE WHITLATCH

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018174

License Status

NOT RENEWED

Business

N

First Name

FRED LEE

Last Name

WHITLATCH

Business Name

FRED LEE WHITLATCH

Original Issue Date

07/16/1982

Effective Date

06/25/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016