MILDRED KOUBA TRAVIS - Dentist License in Illinois | # 020000011

MILDRED KOUBA TRAVIS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000011

License Status

NOT RENEWED

Business

N

First Name

MILDRED KOUBA

Last Name

TRAVIS

Business Name

MILDRED KOUBA TRAVIS

Original Issue Date

11/19/1946

Effective Date

11/19/1946

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005