TODD V MIESEL DDS - Dentist License in Illinois | # 019024324

TODD V MIESEL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024324

License Status

NOT RENEWED

Business

N

First Name

TODD V

Last Name

MIESEL

Suffix

DDS

Business Name

TODD V MIESEL DDS

Original Issue Date

10/21/1996

Effective Date

10/21/1996

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005