BRIAN LEE KLOBERDANZ - Dentist License in Illinois | # 019020067

BRIAN LEE KLOBERDANZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020067

License Status

NOT RENEWED

Business

N

First Name

BRIAN LEE

Last Name

KLOBERDANZ

Business Name

BRIAN LEE KLOBERDANZ

Original Issue Date

06/04/1986

Effective Date

09/18/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022