TYSON ZACKEY - Dentist License in Illinois | # 019020990

TYSON ZACKEY

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020990

License Status

NOT RENEWED

Business

N

First Name

TYSON

Last Name

ZACKEY

Business Name

TYSON ZACKEY

Original Issue Date

01/01/1988

Effective Date

01/01/1988

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005