JOHN ALBERT MADDRELL DDS - Dentist License in Illinois | # 021000348

JOHN ALBERT MADDRELL DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000348

License Status

INACTIVE

Business

N

First Name

JOHN ALBERT

Last Name

MADDRELL

Suffix

DDS

Business Name

JOHN ALBERT MADDRELL DDS

Original Issue Date

11/30/1961

Effective Date

11/30/1961

Expiration Date

09/30/1994

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005