ALEXANDER FERDKOFF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028527

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Last Name

FERDKOFF

Business Name

ALEXANDER FERDKOFF

Original Issue Date

11/16/2010

Effective Date

09/06/2012

Expiration Date

09/30/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/08/2016