NATHAN W MOGREN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027005

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

MOGREN

Business Name

NATHAN W MOGREN

Original Issue Date

05/25/2006

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2010