SCOTT W PODLESH DDS - Dentist License in Illinois | # 019023213

SCOTT W PODLESH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023213

License Status

NOT RENEWED

Business

N

First Name

SCOTT W

Last Name

PODLESH

Suffix

DDS

Business Name

SCOTT W PODLESH DDS

Original Issue Date

04/19/1993

Effective Date

04/19/1993

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005