R VON PORTER - Dentist License in Illinois | # 019020752

R VON PORTER

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020752

License Status

INACTIVE

Business

N

First Name

R VON

Last Name

PORTER

Business Name

R VON PORTER

Original Issue Date

08/15/1987

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/24/2006