JACK IAN MAYER DMD - Dentist License in Illinois | # 019024734

JACK IAN MAYER DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024734

License Status

NOT RENEWED

Business

N

First Name

JACK

Middle

IAN

Last Name

MAYER

Suffix

DMD

Business Name

JACK IAN MAYER DMD

Original Issue Date

06/23/1998

Effective Date

06/23/1998

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005