MISON LEE JON DMD - Dentist License in Illinois | # 019024173

MISON LEE JON DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024173

License Status

NOT RENEWED

Business

N

First Name

MISON LEE

Last Name

JON

Suffix

DMD

Business Name

MISON LEE JON DMD

Original Issue Date

07/02/1996

Effective Date

07/02/1996

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005