JASON MICHAEL MAILHOT DMD - Dentist License in Illinois | # 019028445

JASON MICHAEL MAILHOT DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028445

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

JASON

Middle

MICHAEL

Last Name

MAILHOT

Business Name

JASON MICHAEL MAILHOT DMD

Original Issue Date

07/22/2010

Effective Date

07/22/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012