JOSEPH MATTHEW FULLMER - Dentist License in Illinois | # 019028120

JOSEPH MATTHEW FULLMER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028120

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

MATTHEW

Last Name

FULLMER

Business Name

JOSEPH MATTHEW FULLMER

Original Issue Date

08/17/2009

Effective Date

08/17/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012