DANIEL S VAN VOLKENBURGH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025327

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

VAN VOLKENBURGH

Suffix

DDS

Business Name

DANIEL S VAN VOLKENBURGH DDS

Original Issue Date

07/12/2000

Effective Date

07/12/2000

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005