NATHAN W MOGREN - Dentist License in Illinois | # 019027005

NATHAN W MOGREN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027005

License Status

NOT RENEWED

Business

N

First Name

NATHAN

Middle

W

Last Name

MOGREN

Business Name

NATHAN W MOGREN

Original Issue Date

05/25/2006

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010