ROSS MICHAEL KOEPPEN DDS - Dentist License in Illinois | # 019027382

ROSS MICHAEL KOEPPEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027382

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012