DOUGLAS LEE WORMS - Dentist License in Illinois | # 020003243

DOUGLAS LEE WORMS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003243

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS LEE

Last Name

WORMS

Business Name

DOUGLAS LEE WORMS

Original Issue Date

07/15/1977

Effective Date

07/15/1977

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005