SVEN SUPPLIES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024508

License Status

NOT RENEWED

Business

First Name

SVEN

Last Name

SUPPLIES

Suffix

DMD

Business Name

SVEN SUPPLIES DMD

Original Issue Date

07/30/1997

Effective Date

07/30/1997

Expiration Date

09/30/2000

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005