JACK EDGAR OSTERHAUS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029567

License Status

NOT RENEWED

Business

First Name

JACK

Middle

EDGAR

Last Name

OSTERHAUS

Business Name

JACK EDGAR OSTERHAUS

Original Issue Date

07/23/2013

Effective Date

07/23/2013

Expiration Date

09/30/2015

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/08/2016