MATTHEW JOSEPH GOERGEN DMD - Dentist License in Illinois | # 019028769

MATTHEW JOSEPH GOERGEN DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028769

License Status

INACTIVE

Business

N

Title

DMD

First Name

MATTHEW

Middle

JOSEPH

Last Name

GOERGEN

Business Name

MATTHEW JOSEPH GOERGEN DMD

Original Issue Date

07/13/2011

Effective Date

07/13/2011

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012