ROBERT COLIN POULSOM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000877

License Status

NOT RENEWED

Business

Title

DDS

First Name

ROBERT

Middle

COLIN

Last Name

POULSOM

Business Name

ROBERT COLIN POULSOM DDS

Original Issue Date

01/16/1976

Effective Date

11/03/2021

Expiration Date

09/30/2024

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

02/04/2025