ROSS MICHAEL KOEPPEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027382

License Status

NOT RENEWED

Business

First Name

ROSS

Middle

MICHAEL

Last Name

KOEPPEN

Suffix

DDS

Business Name

ROSS MICHAEL KOEPPEN DDS

Original Issue Date

06/06/2007

Effective Date

07/02/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012