DANIEL S VAN VOLKENBURGH DDS - Dentist License in Illinois | # 019025327

DANIEL S VAN VOLKENBURGH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025327

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

S

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005