ERNST A CORNIELSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000891

License Status

NOT RENEWED

Business

First Name

ERNST A

Last Name

CORNIELSEN

Suffix

DDS

Business Name

ERNST A CORNIELSEN DDS

Original Issue Date

12/09/1976

Effective Date

12/09/1976

Expiration Date

09/30/2006

City

CRYSTAL LAKE

State

Zip

60012

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

11/08/2006