GREGORY K SPACKMAN - Dentist License in Illinois | # 019021767

GREGORY K SPACKMAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021767

License Status

NOT RENEWED

Business

N

First Name

GREGORY K

Last Name

SPACKMAN

Business Name

GREGORY K SPACKMAN

Original Issue Date

09/30/1989

Effective Date

09/30/1989

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005