SRDJAN ILIC-SILJAK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026786

License Status

NOT RENEWED

Business

First Name

SRDJAN

Last Name

ILIC-SILJAK

Suffix

DMD

Business Name

SRDJAN ILIC-SILJAK DMD

Original Issue Date

06/17/2005

Effective Date

11/03/2009

Expiration Date

09/30/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/14/2012