JOHN ROBERT MUSSULMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002767

License Status

NOT RENEWED

Business

First Name

JOHN ROBERT

Last Name

MUSSULMAN

Business Name

JOHN ROBERT MUSSULMAN

Original Issue Date

04/08/1976

Effective Date

04/08/1976

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/12/2005